Active NPI
Krystal L Couture, PT, DPT
- Physical Therapist
- Rollinsford, NH
National Provider Identifier
1942301965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3158
- Practice address
- 3 Front St Ste 408
PO Pox 492
Rollinsford, NH 03869-7001 - Phone
- (603) 387-3347
- Fax
- (603) 343-4708
- NPI assigned
- Sep 25, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3158 | NH | Primary |
| Physical Therapist | 225100000X | 18218 | MA | |
| Physical Therapist | 225100000X | 3180 | ME |
Addresses
Primary practice location
3 Front St Ste 408
PO Pox 492
Rollinsford, NH 03869-7001
Mailing address
3 Front St Ste 408
PO Pox 492
Rollinsford, NH 03869-7001
Phone (603) 387-3347
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18218 | MA | MD | Physical Therapist |
| 3180 | ME | MD | Physical Therapist |
| 3158 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pure Balance Holistic Healing LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Rollinsford, NH
- NPI 1780826529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1942301965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 FRONT ST STE 408",
"address_2": "PO POX 492",
"city": "ROLLINSFORD",
"state": "NH",
"postal_code": "038697001",
"telephone_number": "603-387-3347",
"fax_number": "603-343-4708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 FRONT ST STE 408",
"address_2": "PO POX 492",
"city": "ROLLINSFORD",
"state": "NH",
"postal_code": "038697001",
"telephone_number": "603-387-3347",
"fax_number": "603-343-4708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUTURE",
"first_name": "KRYSTAL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "3158",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "18218",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "3180",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rollinsford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.