Erin James Shaffer
Individual provider Active NPI Physical Therapist · Glen, NH
NPI 1982142121 · NPPES record last updated Jan 16, 2025
Key facts
- NPI
- 1982142121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4352 (NH)
- Practice address
- 15 US-302
Suite 2
Glen, NH 03838 - Phone
- (603) 383-7009
- NPI assigned
- Feb 8, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saco Bay Orthopaedic and Sports Physical Therapy Inc
Practice addresses (Care Compare)
15 US Route 302
Suite 2
Glen, NH 03838-6300
Phone (603) 383-7009
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230223000702 | NH | Practitioner - Physical Therapist in Private Practice | 1951687151 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6020 | ME | MD | Physical Therapist |
| 4352 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Current |
Accepting new patients | |
| Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Current |
Accepting new patients |
Locations
15 US Route 302
Ste 2
Glen, NH 03838
Phone (603) 383-7009
75 Newport Rd
Unit 4
New London, NH 03257
Phone (603) 526-2781
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6020 | ME | |
| Orthopedic Physical Therapist | 2251X0800X | PT025840 | PA | |
| Physical Therapist | 225100000X | 4352 | NH | Yes |
Addresses
Primary practice location
15 US-302
Suite 2
Glen, NH 03838
Mailing address
7 Marsh Brook Dr Ste 101
Somersworth, NH 03878-6523
Phone (603) 749-6686
Other providers in Glen, NH
- David Gotjen
- Kevin Larochelle
- Katie C Qualey
- Robert Richardson
- Saco Bay Orthopaedic and Sports Physical Therapy, Inc.
- Elisabeth Whitaker
All providers in Glen, NH · Physical Therapist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.