Active NPI
Derry Sports & Rehab, LLC
- Physical Therapist
- East Hampstead, NH
National Provider Identifier
1932135563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- DERRY SPORTS & REHAB, LLC
- Practice address
- 45 Danville Rd
East Hampstead, NH 03826 - Phone
- (603) 382-0019
- Fax
- (603) 382-1105
- NPI assigned
- Jun 24, 2006
- Last updated
- Jul 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas Vailas
- Title
- Owner
- Phone
- (603) 232-4513
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
45 Danville Rd
East Hampstead, NH 03826
Mailing address
55 Bridge St
Manchester, NH 03101-1603
Phone (603) 232-4513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180619001012 | NH | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1052666807 |
Receives reassigned benefits from 10 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Derry, NH; Salem, NH; East Hampstead, NH |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Salem Sports & Rehab
- Physical Therapist
- Salem, NH
- NPI 1023212198
O20180619001012
National Provider Directory
National Provider Directory- Tax ID family
- Derry Sports and Rehab
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Derry, NH
- NPI 1487670386
Locations
45 Danville Rd
East Hampstead, NH 03826
Phone (603) 382-0019
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Salem, NH
- NPI 1588845861
-
- Physical Therapist
- East Hampstead, NH
- NPI 1194190348
-
- Physical Therapist
- Nashua, NH
- NPI 1720472483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752710400000",
"number": "1932135563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 BRIDGE ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031011603",
"telephone_number": "603-232-4513",
"fax_number": "603-782-5123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 DANVILLE RD",
"city": "EAST HAMPSTEAD",
"state": "NH",
"postal_code": "03826",
"telephone_number": "603-382-0019",
"fax_number": "603-382-1105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERRY SPORTS & REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A",
"authorized_official_last_name": "VAILAS",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "603-232-4513"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Hampstead, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.