Organization Active NPI

United Physical Therapy

  • Physical Therapist
  • Manchester, NH
National Provider Identifier
1942660139
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UNITED PHYSICAL THERAPY
Practice address
700 Lake Ave Ste 3
Manchester, NH 03103
Phone
(603) 668-7070
Fax
(603) 668-5755
NPI assigned
Mar 1, 2016
Last updated
Sep 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
Dr. Ian Macdonald, DPTNPI 1902912736
Title
Owner
Phone
(603) 867-0940

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

700 Lake Ave Ste 3
Manchester, NH 03103

Mailing address

700 Lake Ave Ste 3
Manchester, NH 03103-2734
Phone (603) 668-7070

Other practice location 1

1850 Elm St
Manchester, NH 03104-2911
Phone (603) 641-4800

Other practice location 2

50 Nashua Rd Ste 302
Londonderry, NH 03053-3444
Phone (603) 421-1177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160318000646 NH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6800193830 Receives reassigned benefits from 1 practitioner
Practice locations: Londonderry, NH; Manchester, NH

National Provider Directory

National Provider Directory

Locations

50 Nashua Rd
Ste 302
Londonderry, NH 03053
Phone (603) 421-1177

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1942660139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LAKE AVE STE 3",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032734",
            "telephone_number": "603-668-7070",
            "fax_number": "603-668-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LAKE AVE STE 3",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03103",
            "telephone_number": "603-668-7070",
            "fax_number": "603-668-5755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Elm St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031042911",
            "country_code": "US",
            "telephone_number": "603-641-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Nashua Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Londonderry",
            "state": "NH",
            "postal_code": "030533444",
            "country_code": "US",
            "telephone_number": "603-421-1177",
            "fax_number": "603-421-2670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNITED PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-867-0940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.