Granite State Adaptive
Physical Therapist in Mirror Lake, New Hampshire
1114366887- Practice location
- 44 Mirror Lake Dr, Mirror Lake, NH 03853-5953
- Phone
- 603-387-1167
- Fax
- —
- Last updated
- June 17, 2013
Granite State Adaptive is a healthcare organization based in Mirror Lake, NH. Granite State Adaptive practices in Mirror Lake, NH. The NPI Number for Granite State Adaptive is 1114366887 and holds a License No. 2924M (NH). The current practice location address for Granite State Adaptive is 44 Mirror Lake Dr, Mirror Lake, NH 03853-5953 and can be reached out via phone at 603-387-1167.
Provider Profile Details
- NPI Number
- 1114366887
- Provider Name
- Granite State Adaptive
- Provider Entity Type
- Organization
- Address
- 44 Mirror Lake Dr, Mirror Lake, NH 03853-5953
- Phone Number
- 603-387-1167
- Primary Taxonomy
- Physical Therapist · 225100000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Jennifer Fraser Haynes, PT · President · 603-387-1167
- Provider Enumeration Date
- June 17, 2013
- Last Update Date
- June 17, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 44 Mirror Lake Dr
Mirror Lake, NH 03853-5953 - City
- Mirror Lake
- State
- New Hampshire
- Zip
- 03853-5953
- Phone Number
- 603-387-1167
Provider Business Mailing Address Details
- Address
- Po Box 24
Mirror Lake, NH 03853-0024 - City
- Mirror Lake
- State
- NH
- Zip
- 03853-0024
- Phone Number
- 603-387-1167
License Information
- License Number (1)
- 2924M
- License State (1)
- NH
- Taxonomy (1)
- Massage Therapist · 225700000X
- License Number (2)
- 681
- License State (2)
- NH
- Taxonomy (2)
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapists near Mirror Lake, NH
View all Physical Therapists in Mirror Lake →Frequently Asked Questions
What is the NPI number of Granite State Adaptive?
The NPI number of Granite State Adaptive is 1114366887. It was assigned on June 17, 2013 and is currently active in the NPPES registry.
What is the specialty of Granite State Adaptive?
Granite State Adaptive is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NH under license number 2924M.
Where does Granite State Adaptive practice?
The practice location is 44 Mirror Lake Dr, Mirror Lake, NH 03853-5953. The office can be reached at 603-387-1167 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114366887 directly on the NPPES registry website.