ELIZABETH FAVREAU WUEBBOLT (NPI# 1801807276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801807276 |
| Entity Type | Individual |
| Full Name | ELIZABETH FAVREAU WUEBBOLT |
| Credential | PT |
| Practice Address |
40 S. River Road, Uni Merrimack Valley Physical Therapy Bedford NH 03110 |
| Mailing Address |
58 Beaver Pond Rd Weare NH 03281-5800 |
| Practice Telephone | 6036264205 |
| Practice Fax Number | 6036666617 |
| Mailing Telephone | 6035293032 |
| Mailing Fax Number | 6036666617 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
0879 | NH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30392154 | 05 |
| Street Address |
40 S. RIVER ROAD, UNI MERRIMACK VALLEY PHYSICAL THERAPY |
| 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 | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700301702 | Dana Marie Drake | Physical Therapist | 404 Racquet Club Blvd, Bedford, TX 76022-6408 | 2017-08-10 |
| 1063942233 | Sarah Meyer | Physical Therapist | 404 Racquet Club Blvd, Bedford, TX 76022-6408 | 2017-06-19 |
| 1821384777 | Lisa Mckinney | Physical Therapist | 2137 16th St, Bedford, IN 47421-3003 | 2011-06-20 |
| 1194771139 | Merrimack Valley Physical Therapy, LLC | Physical Therapist | 40 S River Rd, Bedford Place, Unit 58, Bedford, NH 03110-6719 | 2006-05-25 |
| 1316936255 | Heather J Vivenzio | Physical Therapist | 40 S River Rd, Unit 58, Bedford, NH 03110-6719 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467925164 | Barbara B. Dematteo, Pt | Physical Therapist | 70 Island Street, Keene, NH 03431 | 2019-01-04 |
| 1194137356 | Jacqueline Shannon | Physical Therapist | 20 Industrial Park Drive, Nashua, NH 03062 | 2014-05-22 |
| 1447543046 | Katherine Camoscio | Physical Therapist | 20 Industrial Park Dr, Nashua, NH 03062-3178 | 2011-05-16 |
| 1508047721 | Laurie English | Physical Therapist | 11 Redwood Rd, Salem, NH 03079-3489 | 2007-11-15 |
| 1083829030 | Greenwood Therapy Services | Physical Therapist | 18 Ansel St, Salem, NH 03079-4550 | 2007-05-12 |
| 1740402346 | Kidz Play Pediatric Therapy | Physical Therapist | 1f Commons Drive, Suite 38, Londonderry, NH 03053 | 2007-05-03 |
| 1174682868 | Jane A Swain | Physical Therapist | 194 Paine Rd, Westmoreland, NH 03467-4212 | 2006-12-08 |
| 1184795460 | Kendra A Garrow | Physical Therapist | 497 Hooksett Rd, Suite 227, Manchester, NH 03104-2632 | 2006-11-10 |
| 1710064514 | Barbara B Dematteo | Physical Therapist | 70 Island St, Keene, NH 03431-3528 | 2006-11-01 |
| 1891877502 | Sandra K Yaffe | Physical Therapist | 144 Canal Street, Nashua, NH 03064 | 2006-10-20 |
| 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.