NPIMap

Organization Active NPI

Opt: Orthopedic Physical Therapy and Wellness Center, Inc.

  • Physical Therapist
  • Nashua, NH
National Provider Identifier
1861590465
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3145 Issued in NH
Legal business name
OPT: ORTHOPEDIC PHYSICAL THERAPY AND WELLNESS CENTER, INC.
Practice address
155 Main Dunstable Rd
Suite 155
Nashua, NH 03060-3640
Phone
(603) 881-5554
Fax
(603) 595-7511
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jason J. Hendricks, MPTNPI 1770507576
Title
Owner/Physical Therapist
Phone
(603) 881-5554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 3145 NH Primary

Addresses

Primary practice location

155 Main Dunstable Rd
Suite 155
Nashua, NH 03060-3640

Mailing address

155 Main Dunstable Rd
Suite 155
Nashua, NH 03060-3640
Phone (603) 881-5554

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040803000495 NH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012988173 Receives reassigned benefits from 3 practitioners
Practice locations: Nashua, NH

National Provider Directory

National Provider Directory

Locations

155 Main Dunstable Rd
Ste 155
Nashua, NH 03060
Phone (603) 881-5554

157 Main Dunstable Rd
Ste 202
Nashua, NH 03060
Phone (603) 595-7511

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861590465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MAIN DUNSTABLE RD",
            "address_2": "SUITE 155",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603640",
            "telephone_number": "603-881-5554",
            "fax_number": "603-595-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MAIN DUNSTABLE RD",
            "address_2": "SUITE 155",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603640",
            "telephone_number": "603-881-5554",
            "fax_number": "603-595-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPT: ORTHOPEDIC PHYSICAL THERAPY AND WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "603-881-5554",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.