Active NPI
Jonathan Mark Greenwood, PT
- Pediatric Physical Therapist
- Salem, NH
National Provider Identifier
1972719870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 2622
- Practice address
- 18 Ansel St
Salem, NH 03079-4550 - Phone
- (603) 401-3830
- Fax
- (603) 458-2121
- NPI assigned
- May 15, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 2622 | NH | Primary |
| Pediatric Physical Therapist | 2251P0200X | 11594 | MA |
Addresses
Primary practice location
18 Ansel St
Salem, NH 03079-4550
Mailing address
18 Ansel St
Salem, NH 03079-4550
Phone (603) 401-3830
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 |
|---|---|---|---|
| 11594 | MA | MD | Pediatric Physical Therapist |
| 2622 | NH | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenwood Therapy Services | Pediatrics | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972719870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 ANSEL ST",
"city": "SALEM",
"state": "NH",
"postal_code": "030794550",
"telephone_number": "603-401-3830",
"fax_number": "603-458-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 ANSEL ST",
"city": "SALEM",
"state": "NH",
"postal_code": "030794550",
"telephone_number": "603-401-3830",
"fax_number": "603-458-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWOOD",
"first_name": "JONATHAN",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NH",
"license": "2622",
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MA",
"license": "11594",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.