Individual provider Active NPI

Susan Dumore

  • Physical Therapist
  • Portsmouth, NH
National Provider Identifier
1831246693
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0849 Issued in NH
Practice address
15 Rye St
Ste 125
Portsmouth, NH 03801-6829
Phone
(603) 610-2200
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0849 NH Primary

Addresses

Primary practice location

15 Rye St
Ste 125
Portsmouth, NH 03801-6829

Mailing address

15 Rye St
Ste 125
Portsmouth, NH 03801-6829
Phone (603) 610-2200

Other identifiers 3

IdentifierTypeStateIssuer
542065286OtherNHTAX IDENTIFICATION NUMBER
0808117Y0NH01OtherNHANTHEM PROVIDER NUMBER
626470OtherNHHPHC PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060127000089 NH Practitioner - Physical Therapist in Private Practice 3870485097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrimack Valley Physical TherapyGroup PAC ID 0840277869, 30 clinicians

Practice addresses (Care Compare)

12 Parmenter Rd
Unit C7
Londonderry, NH 03053-3279
Phone (603) 434-6592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Physical Therapy Physical Therapist CurrentSince Oct 12, 2020 Accepting new patients

Locations

5 Clinton St
Concord, NH 03301
Phone (603) 224-3511

857 Central Ave
Dover, NH 03820
Phone (603) 403-5024

12 Parmenter Rd
Unit C7
Londonderry, NH 03053
Phone (603) 434-6592

835 Hanover St
Ste 102
Manchester, NH 03104
Phone (603) 625-1864

15 Rye St
Ste 125
Portsmouth, NH 03801
Phone (603) 310-2200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1831246693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RYE ST",
            "address_2": "STE 125",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038016829",
            "telephone_number": "603-610-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RYE ST",
            "address_2": "STE 125",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038016829",
            "telephone_number": "603-610-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMORE",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "0849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "542065286",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "0808117Y0NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC PROVIDER NUMBER",
            "identifier": "626470",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.