Healthcare Provider Details
I. General information
NPI: 1194794818
Provider Name (Legal Business Name): HAMPSHIRE HILLS CLINIC FOR PHYSICAL THERAPY & SPORTS MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 EMERSON ROAD
MILFORD NH
03055
US
IV. Provider business mailing address
P. O. BOX 136 50 EMERSON ROAD
MILFORD NH
03055
US
V. Phone/Fax
- Phone: 603-672-4478
- Fax: 603-672-2436
- Phone: 603-672-4478
- Fax: 603-672-2436
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251P0200X |
| Taxonomy | Pediatric Physical Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251S0007X |
| Taxonomy | Sports Physical Therapist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251G0304X |
| Taxonomy | Geriatric Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHN
ASSAD
Title or Position: CLINICAL DIRECTOR
Credential: PT
Phone: 603-672-4478