Active NPI
Susan Dumore
- Physical Therapist
- Portsmouth, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0849
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 542065286 | Other | NH | TAX IDENTIFICATION NUMBER |
| 0808117Y0NH01 | Other | NH | ANTHEM PROVIDER NUMBER |
| 626470 | Other | NH | HPHC PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merrimack Valley Physical Therapy | Physical Therapist | Current | 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.
-
- Physical Therapist
- Bedford, NH
- NPI 1194771139
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.