Active NPI
Lisa Marie Theroux, P.T.
- Physical Therapist
- Concord, NH
National Provider Identifier
1972822807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3523
- Practice address
- 124 Hall St
Suite H
Concord, NH 03301-3478 - Phone
- (603) 224-4540
- NPI assigned
- May 17, 2010
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3523 | NH | Primary |
Addresses
Primary practice location
124 Hall St
Suite H
Concord, NH 03301-3478
Mailing address
90 Eastern Ave
Unit 302
Manchester, NH 03104-6644
Phone (603) 935-8880
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 |
|---|---|---|---|
| 3523 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274054400000",
"number": "1972822807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 EASTERN AVE",
"address_2": "UNIT 302",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031046644",
"telephone_number": "603-935-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 HALL ST",
"address_2": "SUITE H",
"city": "CONCORD",
"state": "NH",
"postal_code": "033013478",
"telephone_number": "603-224-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEROUX",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-17",
"last_updated": "2010-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "3523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
- The Center for Exceptional Children and Families, LLC
- The Community College System of New Hampshire
- The Concord Community Music School
- The Healing Space LLC
- The Lumina Center, LLC
- Susan Mary Thibodeau, BSN, MSN, ARNP
- Alexandra Adeline Thomas, PT, DPT
- Charles Joseph Thomas II, D.M.D.
- Alison Thompson, OTR
- Chelsey Thompson, BA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.