Individual provider Active NPI

Kimberly Sanders, PT

  • Physical Therapist
  • Concord, NH
National Provider Identifier
1962623108
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3141 Issued in NH
Practice address
246 Pleasant St
Suite 104
Concord, NH 03301-2548
Phone
(603) 224-2699
Fax
(603) 227-7041
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3141 NH Primary

Addresses

Primary practice location

246 Pleasant St
Suite 104
Concord, NH 03301-2548

Mailing address

45 Chichester Rd
Loudon, NH 03307-0705
Phone (603) 798-5228

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220209000951 NH Practitioner - Physical Therapist in Private Practice 0749673028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granite State Physical Therapy Hooksett PLLCGroup PAC ID 1153321401, 16 clinicians

Practice addresses (Care Compare)

1558 Hooksett Rd
Suite 5
Hooksett, NH 03106-1600
Phone (603) 695-6767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3141NHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Granite State Physical Therapy Hooksett PLLC Physical Therapist CurrentSince Feb 7, 2022 Accepting new patients

Locations

6 Loudon Rd
Ste 5
Concord, NH 03301
Phone (603) 410-6309

1558 Hooksett Rd
Ste 5
Hooksett, NH 03106
Phone (603) 695-6767

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962623108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CHICHESTER RD",
            "city": "LOUDON",
            "state": "NH",
            "postal_code": "033070705",
            "telephone_number": "603-798-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST",
            "address_2": "SUITE 104",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012548",
            "telephone_number": "603-224-2699",
            "fax_number": "603-227-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KIMBERLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.