Healthcare Provider Details

I. General information

NPI: 1598824229
Provider Name (Legal Business Name): PROFESSIONAL PHYSICAL THERAPY SERVICES OF CENTRAL NH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 367
PITTSFIELD NH
03263-0367
US

IV. Provider business mailing address

PO BOX 367
PITTSFIELD NH
03263-0367
US

V. Phone/Fax

Practice location:
  • Phone: 603-226-3500
  • Fax: 603-226-3420
Mailing address:
  • Phone: 603-226-3500
  • Fax: 603-226-3420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: PETER J MINNEHAN
Title or Position: PHYSICAL THERAPIST OWNER
Credential: PT
Phone: 603-226-3500