Healthcare Provider Details
I. General information
NPI: 1265045207
Provider Name (Legal Business Name): JOSHUA H CAOUETTE PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/28/2020
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17 RIVERSIDE ST STE 101
NASHUA NH
03062-1383
US
IV. Provider business mailing address
17 RIVERSIDE ST STE 101
NASHUA NH
03062-1383
US
V. Phone/Fax
- Phone: 603-883-0091
- Fax: 603-881-3739
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 6139 |
| License Number State | NH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: