Healthcare Provider Details

I. General information

NPI: 1992248199
Provider Name (Legal Business Name): NICOLE EARLENE RAYSON DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NICOLE EARLENE BOOHER

II. Dates (important events)

Enumeration Date: 11/21/2016
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 DURHAM RD STE 202
DOVER NH
03820-4791
US

IV. Provider business mailing address

73 NEWTON RD UNIT 101
PLAISTOW NH
03865-2440
US

V. Phone/Fax

Practice location:
  • Phone: 603-565-2756
  • Fax: 603-722-2750
Mailing address:
  • Phone: 978-388-7272
  • Fax: 978-388-7373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5648
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT025416
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: