Nicholas John Baltisberger, DPT
Individual provider Active NPI Physical Therapist · Nashua, NH
NPI 1790060432 · NPPES record last updated Oct 13, 2011
Key facts
- NPI
- 1790060432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3630 (NH)
- Practice address
- 522 Amherst Street
Suite 22
Nashua, NH 03063-1019 - Phone
- (603) 880-0448
- Fax
- (603) 880-0448
- NPI assigned
- Oct 13, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3630 | NH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3630 | NH | Yes |
Addresses
Primary practice location
522 Amherst Street
Suite 22
Nashua, NH 03063-1019
Mailing address
522 Amherst Street
Suite 22
Nashua, NH 03063-1019
Phone (603) 880-0448
Other providers in Nashua, NH
- Kasey Ballantine
- Kristen E Ballard
- Rouba Balleh
- Stephanie A Ballentine
- Samantha Ballou
- Chad Bandosz
- Jennifer Bangs
- Kaitlyn May Bannister
- Haley Baptist
- Michael William Barb
All providers in Nashua, NH · Physical Therapist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.