Active NPI
Elizabeth Riley Mattson, P.T.
- Physical Therapist
- Bristol, NH
National Provider Identifier
1851591812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1273
- Practice address
- 315 Jenness Hill Rd
Bristol, NH 03222-3812 - Phone
- (603) 381-4652
- NPI assigned
- Jul 18, 2007
- Last updated
- Jul 18, 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 | 1273 | NH | Primary |
Addresses
Primary practice location
315 Jenness Hill Rd
Bristol, NH 03222-3812
Mailing address
315 Jenness Hill Rd
Bristol, NH 03222-3812
Phone (603) 381-4652
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30010361 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1851591812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 JENNESS HILL RD",
"city": "BRISTOL",
"state": "NH",
"postal_code": "032223812",
"telephone_number": "603-381-4652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 JENNESS HILL RD",
"city": "BRISTOL",
"state": "NH",
"postal_code": "032223812",
"telephone_number": "603-381-4652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTSON",
"first_name": "ELIZABETH",
"middle_name": "RILEY",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-18",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "1273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30010361",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bristol, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.