NEW HAMPSHIRE PROSTHETICS LLC (NPI# 1407358096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407358096 |
Entity Type | Organization |
Organization Name | NEW HAMPSHIRE PROSTHETICS LLC |
Other Organization Name | WILLOWBROOK PROSTHETICS |
Practice Address |
190 Hanover St Lebanon NH 03766-1020 |
Mailing Address |
155 Griffin Rd Unit 2 Portsmouth NH 03801-4125 |
Practice Telephone | 6034480070 |
Practice Fax Number | 6034439972 |
Mailing Telephone | 6032940010 |
Mailing Fax Number | 6032940012 |
Enumeration Date | 2018-02-28 |
Last Update Date | 2018-10-01 |
Authorized Official Name | CHRISTOPHER CROASDALE (MEMBER/PARTNER) |
Authorized Official Telephone | 6032940010 |
Authorized Official Credential | CP |
Is Organization Subpart | Y |
Parent Organization Name | NEW HAMPSHIRE PROSTHETICS LLC |
Parent Organization TIN |
|
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
Other Name | Type Code |
---|---|
Willowbrook Prosthetics | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245572221 | New Hampshire Prosthetics LLC | Prosthetic/Orthotic Supplier | 30 International Dr Ste 201, Portsmouth, NH 03801-6812 | 2013-03-18 |
Street Address |
190 HANOVER ST |
City | LEBANON |
State | NH |
Zip Code | 03766-1020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144854506 | Next Step Bionics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 190 Hanover St, Lebanon, NH 03766-1020 | 2020-02-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033580345 | Leah E Abrahamsen | Social Worker | 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 | 2015-10-13 |
1871982801 | Steps Opioid Addiction Treatment | Clinic/Center | 1 Glen Road, Suite 216, Lebanon, NH 03766 | 2015-01-14 |
1811282288 | Lisa Golden Morse | Occupational Therapist | 23 Mahon St, Lebanon, NH 03766 | 2011-06-14 |
1750607131 | Timothy Joseph Lin | Orthopaedic Surgery | 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 | 2010-04-11 |
1457673857 | Melanie A Baker | Dental Hygienist | One Court Street, Suite 270, Lebanon, NH 03766 | 2010-02-26 |
1568613073 | Peter Keith Isquith | Clinical Neuropsychologist | 367 Route 120 Unit B1, Hanover Road Professional Center, Lebanon, NH 03766 | 2008-10-02 |
1235317512 | Leslie Sudak | Speech-Language Pathologist | 10 Mascoma St, Lebanon, NH 03766 | 2008-02-08 |
1891973269 | Dc Whitfield | Nurse Practitioner | 20 W Park St Ste 418, Lebanon, NH 03766 | 2008-02-07 |
1588879951 | Charles R Meyers | Acupuncturist | 2 Whipple Place, Lebanon, NH 03766 | 2007-05-11 |
1285859686 | Thomas A Johnston | Dentist | 206 Heater Road, Lebanon, NH 03766 | 2007-04-13 |
Find all providers in zip 03766 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144854506 | Next Step Bionics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 190 Hanover St, Lebanon, NH 03766-1020 | 2020-02-25 |
1003088568 | Restorative Health Services, Inc. | Prosthetic/Orthotic Supplier | 365 S Hartmann Dr Ste 112, Lebanon, TN 37087-4789 | 2008-03-25 |
1609060979 | Carol's Specialty Shoppe | Prosthetic/Orthotic Supplier | 809 E Evergreen Rd, Lebanon, PA 17042-7928 | 2007-08-30 |
1861515686 | Applied Orthotic Systems, Inc. | Prosthetic/Orthotic Supplier | 1420 Baddour Parkway, Suite 220, Lebanon, TN 37087-1510 | 2007-04-08 |
1902256910 | Advanced Diagnostic Imaging, PC | Prosthetic/Orthotic Supplier | 430 W Main St, Lebanon, TN 37087-3502 | 2016-06-21 |
1881871077 | Carol's Specialty Shoppe | Prosthetic/Orthotic Supplier | 809 E Evergreen Rd, Lebanon, PA 17042-7928 | 2008-01-30 |
1932397486 | Carol N. Maurer | Prosthetic/Orthotic Supplier | 809 E Evergreen Rd, Lebanon, PA 17042-7928 | 2007-10-10 |
1588725543 | Yankee Medical Inc | Prosthetic/Orthotic Supplier | 165 Mechanic St, Lebanon, NH 03766-1509 | 2006-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053893867 | Orthotics In Motion LLC | Prosthetic/Orthotic Supplier | 136 Harvey Rd, Suite A105, Londonderry, NH 03053 | 2018-08-29 |
1518396183 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 23 Stiles Rd Ste 218, Salem, NH 03079-2854 | 2013-11-05 |
1245572221 | New Hampshire Prosthetics LLC | Prosthetic/Orthotic Supplier | 30 International Dr Ste 201, Portsmouth, NH 03801-6812 | 2013-03-18 |
1760762439 | Red's Shoe Barn, Inc | Prosthetic/Orthotic Supplier | 22 Plaistow Rd, Plaistow, NH 03865-4802 | 2011-08-25 |
1891922076 | Lady Grace Stores, Inc. | Prosthetic/Orthotic Supplier | 236 N Broadway, Salem, NH 03079-2131 | 2009-06-16 |
1225274848 | Antony Contarino | Prosthetic/Orthotic Supplier | 11 Woodside Ave, Keene, NH 03431-4362 | 2009-01-02 |
1750565479 | Granite State Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 280 Pleasant St Ste 3, Concord, NH 03301-2553 | 2007-12-18 |
1629261839 | Gettin Golden and Aj's Wigs | Prosthetic/Orthotic Supplier | 1100 Hooksett Rd Ste 106, Hooksett, NH 03106-1073 | 2007-08-21 |
1710094552 | Austin Medical Products | Prosthetic/Orthotic Supplier | 66 Eastern Avenue, Center Conway, NH 03813 | 2006-08-25 |
1033197975 | Kisers Orthotic and Prosthetic Services,inc. | Prosthetic/Orthotic Supplier | 25 Avon St, Keene, NH 03431-3510 | 2005-12-30 |
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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.