Active NPI
Theracare, LLC
- Specialist
- Bedford, NH
National Provider Identifier
1801972575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- THERACARE, LLC
- Practice address
- 20 Washington Place
Bedford, NH 03110 - Phone
- (603) 644-5900
- Fax
- (603) 644-5902
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian Lavigne
- Title
- Managing Partner
- Phone
- (603) 644-5900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
20 Washington Place
Bedford, NH 03110
Mailing address
20 Washington Place
Bedford, NH 03110
Phone (603) 644-5900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30397622 | Medicaid | NH | |
| AA51080 | Other | NH | HARVARD PILGRIM |
Other names 1
- Theracare
National Provider Directory
National Provider DirectoryLocations
29 Kosciuszko St
Manchester, NH 03101
Phone (603) 668-1106
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Bedford, NH
- NPI 1740373372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363737600000",
"number": "1801972575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WASHINGTON PLACE",
"city": "BEDFORD",
"state": "NH",
"postal_code": "03110",
"telephone_number": "603-644-5900",
"fax_number": "603-644-5902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WASHINGTON PLACE",
"city": "BEDFORD",
"state": "NH",
"postal_code": "03110",
"telephone_number": "603-644-5900",
"fax_number": "603-644-5902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERACARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2013-03-20",
"status": "A",
"authorized_official_last_name": "LAVIGNE",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "603-644-5900",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30397622",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA51080",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Theracare",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.