Healthcare Provider Details

I. General information

NPI: 1962703439
Provider Name (Legal Business Name): POWERS PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2010
Last Update Date: 05/09/2020
Certification Date: 05/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1247 WASHINGTON RD STE 28
RYE NH
03870-2345
US

IV. Provider business mailing address

1247 WASHINGTON RD STE 28
RYE NH
03870-2345
US

V. Phone/Fax

Practice location:
  • Phone: 603-379-2480
  • Fax: 603-379-2485
Mailing address:
  • Phone: 603-379-2480
  • Fax: 603-379-2485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number3321
License Number StateNH

VIII. Authorized Official

Name: DR. LESLEY MCSHEA POWERS
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 603-279-2480