Provider Demographics
NPI:1548257462
Name:THERAPEUTIC CONNECTIONS IN PHYSICAL THERAPY
Entity type:Organization
Organization Name:THERAPEUTIC CONNECTIONS IN PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SMITH-BLAIS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:603-632-4150
Mailing Address - Street 1:146 PALMER ROAD
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03748-4314
Mailing Address - Country:US
Mailing Address - Phone:603-632-4150
Mailing Address - Fax:603-543-3400
Practice Address - Street 1:146 PALMER ROAD
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:NH
Practice Address - Zip Code:03748-4314
Practice Address - Country:US
Practice Address - Phone:603-632-4150
Practice Address - Fax:603-543-3400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH780225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1010284Medicaid
NH30463YOtherANTHEM BCBS
VT59764THEROtherVT BCBS
NHRE7510Medicare ID - Type Unspecified