Healthcare Provider Details

I. General information

NPI: 1881531838
Provider Name (Legal Business Name): NH REHABILITATION MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

442 MAIN ST
FREMONT NH
03044-3434
US

IV. Provider business mailing address

5 MCNICHOL LN
BOW NH
03304-5409
US

V. Phone/Fax

Practice location:
  • Phone: 603-895-3126
  • Fax:
Mailing address:
  • Phone: 603-219-6282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ADAM PAVLE CUGALJ
Title or Position: PHYSICIAN/OWNER
Credential: DO
Phone: 603-219-6282