BEDFORD GERIATRIC PHYSICAL THERAPY, LLC (NPI# 1295921088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295921088 |
| Entity Type | Organization |
| Organization Name | BEDFORD GERIATRIC PHYSICAL THERAPY, LLC |
| Practice Address |
108 Riverway Place Bedford NH 03110 |
| Practice Telephone | 6036235300 |
| Practice Fax Number | 6036235335 |
| Mailing Telephone | 6036235300 |
| Mailing Fax Number | 6036235335 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2012-08-30 |
| Authorized Official Name | MRS. ANNMARIE NANCY PROSKA (DIRECTOR) |
| Authorized Official Telephone | 6036235300 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
0980 | NH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30398673 | 05 |
| Street Address |
108 RIVERWAY PLACE |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124362165 | Brian Hinton | Physical Therapist | 79 Forest Dr, Bedford, NH 03110-6215 | 2012-11-15 |
| 1457833691 | Nicole Estes Pace | Physical Therapist | 1960 Bedford Rd, Bedford, TX 76021-5722 | 2018-09-04 |
| 1942586557 | Karen Ann Derosas | Physical Therapist | 3 Putnam Rd, Bedford, MA 01730-1540 | 2011-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588085211 | Ann Laprade | Physical Therapist | 20 Alderwood Dr, Stratham, NH 03885-4215 | 2013-12-24 |
| 1922342542 | John Joseph Leary IIi | Physical Therapist | 2 Beaver Brook Cir, Amherst, NH 03031-2512 | 2012-11-20 |
| 1013478726 | Abigail Foti | Physical Therapist | 203 Lowell Rd, Hudson, NH 03051-4909 | 2019-03-26 |
| 1588130504 | Jacqueline Beverly | Physical Therapist | 1 Stiles Rd Ste 203, Salem, NH 03079-4804 | 2018-10-17 |
| 1174099154 | Lynn Wong | Physical Therapist | 1 Stiles Rd Ste 203, Salem, NH 03079-4804 | 2018-10-17 |
| 1366835613 | Karen Pauline Hendrickson | Physical Therapist | 45 High St, Nashua, NH 03060-3312 | 2015-03-11 |
| 1255755666 | Saral Gupta | Physical Therapist | 29 Providence Ave, Berlin, NH 03570-3130 | 2014-02-06 |
| 1841538550 | Kristy Mayo Mackenzie | Physical Therapist | 60 Middle Rd, Dover, NH 03820-4146 | 2013-01-30 |
| 1568666881 | Annette Jw Denise | Physical Therapist | 442 Main St, Fremont, NH 03044-3434 | 2007-06-12 |
| 1144433095 | Kimberly Michelle Nadeau | Physical Therapist | 250 Pleasant St, Suite 1530, Concord, NH 03301-7539 | 2007-05-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.