Active NPIIndividual provider

Kevin W Small, PTA

Physical Therapy Assistant in Laconia, New Hampshire

NPI Number1891161139
Practice location
175 Blueberry Ln, Laconia, NH 03246-2918
Fax
—
Last updated
August 20, 2015

Kevin Wilson Small is a Physical Therapy Assistant based in Laconia, NH. Kevin Wilson Small practices in Laconia, NH and has the professional credentials of PTA. The NPI Number for Kevin Wilson Small is 1891161139 and holds a License No. 1210 (NH). The current practice location address for Kevin Wilson Small is 175 Blueberry Ln, Laconia, NH 03246-2918 and can be reached out via phone at 603-524-3340.

Provider Profile Details

NPI Number
1891161139
Provider Name
Kevin Wilson Small
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
175 Blueberry Ln, Laconia, NH 03246-2918
Phone Number
603-524-3340
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
August 20, 2015
Last Update Date
August 20, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 Blueberry Ln
Laconia, NH 03246-2918
Zip
03246-2918
Phone Number
603-524-3340
Laconia, NH 03246Get directions →

Provider Business Mailing Address Details

Address
22 Ridgemont Dr
Londonderry, NH 03053-3103
City
Londonderry
State
NH
Zip
03053-3103
Phone Number
603-851-1163

License Information

License Number
1210
License State
NH
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kevin W Small, PTA?

The NPI number of Kevin W Small, PTA is 1891161139. It was assigned on August 20, 2015 and is currently active in the NPPES registry.

What is the specialty of Kevin W Small, PTA?

Kevin W Small, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NH under license number 1210.

Where does Kevin W Small, PTA practice?

The practice location is 175 Blueberry Ln, Laconia, NH 03246-2918. The office can be reached at 603-524-3340 (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 1891161139 directly on the NPPES registry website.

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