Healthcare Provider Details

I. General information

NPI: 1093620544
Provider Name (Legal Business Name): INTEGRATIVE PELVIC HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 LAFAYETTE RD UNIT 101
HAMPTON NH
03842-3344
US

IV. Provider business mailing address

540 LAFAYETTE RD UNIT 101
HAMPTON NH
03842-3344
US

V. Phone/Fax

Practice location:
  • Phone: 207-977-6026
  • Fax: 603-550-5014
Mailing address:
  • Phone: 207-977-6026
  • Fax: 603-550-5014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: ASHTON FREY
Title or Position: OWNER, OCCUPATIONAL THERAPIST
Credential: MOT OTR/L
Phone: 207-977-6026