Individual provider Active NPI

Julaine E Geldermann, DPT

  • Pediatric Physical Therapist
  • Concord, NH
National Provider Identifier
1992085039
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
1770 Issued in NH
Practice address
124 Hall St
Suite G/H
Concord, NH 03301-3478
Phone
(603) 387-0119
NPI assigned
Aug 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 1770 NH Primary

Addresses

Primary practice location

124 Hall St
Suite G/H
Concord, NH 03301-3478

Mailing address

124 Hall St
Suite G/H
Concord, NH 03301-3478
Phone (603) 387-0119

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

LicenseStateTypeSpecialty
1770NHMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1313884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1992085039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 HALL ST",
            "address_2": "SUITE G/H",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013478",
            "telephone_number": "603-387-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HALL ST",
            "address_2": "SUITE G/H",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013478",
            "telephone_number": "603-387-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELDERMANN",
        "first_name": "JULAINE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-21",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NH",
            "license": "1770",
            "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 Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.