Organization Active NPI

Pure Balance Holistic Healing LLC

  • Physical Therapy Clinic/Center
  • Rollinsford, NH
National Provider Identifier
1780826529
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
3158 Issued in NH
Legal business name
PURE BALANCE HOLISTIC HEALING LLC
Practice address
3 Front St Ste 408
Rollinsford, NH 03869-7001
Phone
(603) 387-3347
Fax
(603) 343-4708
NPI assigned
Mar 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Krystal L Couture, PTNPI 1942301965
Title
Physical Therapist, Owner
Phone
(603) 387-3347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 3158 NH Primary

Addresses

Primary practice location

3 Front St Ste 408
Rollinsford, NH 03869-7001

Mailing address

3 Front St Ste 408
PO Box 492
Rollinsford, NH 03869-7001
Phone (603) 387-3347

Other identifiers 1

IdentifierTypeStateIssuer
1942301965OtherNPI INDIVIDUAL PROVIDER IDENTIFIER

National Provider Directory

National Provider Directory

Locations

3 Front St
Ste 408
Rollinsford, NH 03869
Phone (603) 387-3347

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1780826529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FRONT ST STE 408",
            "address_2": "PO BOX 492",
            "city": "ROLLINSFORD",
            "state": "NH",
            "postal_code": "038697001",
            "telephone_number": "603-387-3347",
            "fax_number": "603-343-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FRONT ST STE 408",
            "city": "ROLLINSFORD",
            "state": "NH",
            "postal_code": "038697001",
            "telephone_number": "603-387-3347",
            "fax_number": "603-343-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE BALANCE HOLISTIC HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "COUTURE",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "603-387-3347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NH",
            "license": "3158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL PROVIDER IDENTIFIER",
            "identifier": "1942301965",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rollinsford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.