Lymphedema Rehab, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

3872 Issued in NH

Legal business name

LYMPHEDEMA REHAB, LLC

Practice address

6 Loudon Rd Ste 203
Concord, NH 03301-5321

Phone

(570) 419-0933

NPI assigned

Oct 3, 2017

Organization subpart

No

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

Authorized official

Name

Megan McLean

Title

Owner

Phone

(570) 419-0943

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1871003954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 ELM ST",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030451913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LOUDON RD STE 203",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015321",
            "telephone_number": "570-419-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHEDEMA REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-419-0943"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NH",
            "license": "3872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Luttrell, DNP, CRNA
• Robert M Lux, MD
• Luxottica of America Inc.
• LW Care LLC
• Virginia Lyder, PT
• Lara Lynch, BCBA
• Terriann Lynch
• Lynne Ainsworth, PT LLC
• Lynn Lyons, LICSW
• Hongbao Ma, M.D.

• Physical Therapy Clinic/Center in Concord, NH
• Providers in Concord, NH by specialty
• Physical Therapy Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.