| White Mountain Physical Therapy, Pllc | |
|
1040 Whittier Hwy, Unit 3, Moultonborough, NH 03254 | |
| (603) 273-1570 | |
| Not Available |
| Full Name | White Mountain Physical Therapy, Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1040 Whittier Hwy, Moultonborough, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497372585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Matthew E Kurz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548785579 PECOS PAC ID: 4587938972 Enrollment ID: I20190304001576 |
| Provider Name | Hannah Kurz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447769419 PECOS PAC ID: 7719246909 Enrollment ID: I20201208001219 |
| Provider Name | Justin Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952020513 PECOS PAC ID: 4284010315 Enrollment ID: I20220927003144 |
| Provider Name | Mikaela Leslie Shields |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073296695 PECOS PAC ID: 7416304803 Enrollment ID: I20231107000621 |
| Mailing Address | Practice Location Address |
|---|---|
| White Mountain Physical Therapy, Pllc Po Box 601, Moultonborough, NH 03254-0601 Ph: (603) 273-1570 | White Mountain Physical Therapy, Pllc 1040 Whittier Hwy, Unit 3, Moultonborough, NH 03254 Ph: (603) 273-1570 |
Mikaela Leslie Shields, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1040 Whittier Hwy, Moultonborough, NH 03254 Phone: 603-273-1570 | |
Allyson Coggins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1040 Whittier Hwy, Moultonborough, NH 03254 Phone: 603-273-1570 | |
Justin Clark, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1040 Whittier Highway, Unit 3, Moultonborough, NH 03254 Phone: 603-273-1570 Fax: 603-255-3559 |