Organization Active NPI

Seacoast Area Physiatry, PC

  • Physical Medicine & Rehabilitation Physician
  • Portsmouth, NH
National Provider Identifier
1912949496
Registry record updated Dec 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SEACOAST AREA PHYSIATRY, PC
Practice address
875 Greenland Rd
Building C-4
Portsmouth, NH 03801-4164
Phone
(603) 431-5529
Fax
(603) 436-6603
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2009

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

Authorized official

Name
Dr. Bruce R Myers, MD
Title
President
Phone
(603) 431-5529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X NH Primary

Addresses

Primary practice location

875 Greenland Rd
Building C-4
Portsmouth, NH 03801-4164

Mailing address

875 Greenland Rd
Building C-4
Portsmouth, NH 03801-4164
Phone (603) 431-5529

Other identifiers 1

IdentifierTypeStateIssuer
80001524MedicaidNH

National Provider Directory

National Provider Directory

Locations

875 Greenland Rd
#C14083
Portsmouth, NH 03801

Practitioners & affiliated clinicians

Practitioners 2

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261612800000",
    "number": "1912949496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 GREENLAND RD",
            "address_2": "BUILDING C-4",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014164",
            "telephone_number": "603-431-5529",
            "fax_number": "603-436-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 GREENLAND RD",
            "address_2": "BUILDING C-4",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014164",
            "telephone_number": "603-431-5529",
            "fax_number": "603-436-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST AREA PHYSIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2009-12-24",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-431-5529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80001524",
            "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 Dec 24, 2009; 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.