Active NPI
Jessica Lauder
- Mechanotherapist
- Conway, NH
National Provider Identifier
1952653321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 3097M
- Practice address
- 24 Pleasant St.
Conway, NH 03818 - Phone
- (603) 731-3527
- NPI assigned
- Oct 10, 2012
- Last updated
- Oct 10, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 3097M | NH | Primary |
Addresses
Primary practice location
24 Pleasant St.
Conway, NH 03818
Mailing address
PO Box 2214
Conway, NH 03818-2214
Phone (603) 731-3527
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3097M | NH | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349827200000",
"number": "1952653321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2214",
"city": "CONWAY",
"state": "NH",
"postal_code": "038182214",
"telephone_number": "603-731-3527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 PLEASANT ST.",
"city": "CONWAY",
"state": "NH",
"postal_code": "03818",
"telephone_number": "603-731-3527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUDER",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-10",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "NH",
"license": "3097M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.