| Fmptat | |
|
122 Nh Route 12a, Langdon, NH 03602-8221 | |
| (603) 835-7828 | |
| (603) 835-7827 |
| Full Name | Fmptat |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 122 Nh Route 12a, Langdon, New Hampshire |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417047689 | NPI | - | NPPES |
| AA65774 | Other | NH | HARVARD PILGRIM |
| 6007380 | Other | NH | MVP |
| 08Y007675NH03 | Other | NH | ANTHEM BCBS |
| 30394477 | Medicaid | NH | |
| DF1145 | Other | NH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2994 (New Hampshire) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 0036 (New Hampshire) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Fmptat Po Box 57, Alstead, NH 03602-0057 Ph: (603) 835-7828 | Fmptat 122 Nh Route 12a, Langdon, NH 03602-8221 Ph: (603) 835-7828 |
Mrs. Lisa N Young, MPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 122 Nh Route 12a, Langdon, NH 03602 Phone: 603-835-7828 Fax: 603-835-7827 | |
Mr. Brian Stoning, M.S.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 201 Crane Brook Rd, Langdon, NH 03602 Phone: 603-835-2440 |