MEDICARE: ORTHOPEDIC AND SPORT THERAPY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1174568646	OTHER	NH	NPI

General Provider Information

NPI Number	:	1174568646
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPEDIC AND SPORT THERAPY SERVICES, LLC

Provider Business Mailing Address
First Line	:	150 GRIFFIN RD
Second Line	:	STE 3
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-7131
Country	:	US
Telephone Number	:	603-433-2101
Fax Number	:	603-427-6841

Provider Business Practice Location Address
First Line	:	150 GRIFFIN RD
Second Line	:	STE 3
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-7131
Country	:	US
Telephone Number	:	603-433-2101
Fax Number	:	603-427-6841

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. MARY E BRODEUR
Credential	:
Telephone Number	:	603-433-2101

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	04/22/2008

Similar Medicare Providers

1902342579 — DR. DANIELLE ELIZABETH WEST DDS
Practice Location Address:

150 GRIFFIN RD STE 1
PORTSMOUTH, NH
03801-7131

Practice Phone: 603-436-2204
Practice Fax:

1679549927 — GEORGE BARNARD PT
Practice Location Address:

150 GRIFFIN RD , SUITE 3
PORTSMOUTH, NH
03801-7131

Practice Phone: 603-433-2101
Practice Fax: 603-427-6841

1902862931 — DR. DEBRA FILOCOMA D.D.S.
Practice Location Address:

150 GRIFFIN RD , SUITE 2
PORTSMOUTH, NH
03801-7131

Practice Phone: 603-436-2204
Practice Fax: 603-436-4158

1750469920 — MRS. GERI R. HUNTER DMD
Practice Location Address:

150 GRIFFIN RD STE 1
PORTSMOUTH, NH
03801-7131

Practice Phone: 603-431-8899
Practice Fax: 603-436-4158

1033273842 — DR. JON JAY WENDELL D.D.S.
Practice Location Address:

150 GRIFFIN RD STE 1
PORTSMOUTH, NH
03801-7131

Practice Phone: 603-436-2204
Practice Fax: 603-436-4158

1083768188 — PORTSMOUTH PEDIATRIC DENTISTRY
Practice Location Address:

150 GRIFFIN RD
PORTSMOUTH, NH
03801-7131

Practice Phone: 603-436-2204
Practice Fax:

Directions to “ORTHOPEDIC AND SPORT THERAPY SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.