Provider Demographics
NPI:1194132142
Name:CREATIVE PATHWAYS PHYSICAL THERAPY P.L.L.C.
Entity type:Organization
Organization Name:CREATIVE PATHWAYS PHYSICAL THERAPY P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BEGIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:603-545-7164
Mailing Address - Street 1:2096 WEARE ROAD
Mailing Address - Street 2:
Mailing Address - City:HENNIKER
Mailing Address - State:NH
Mailing Address - Zip Code:03242
Mailing Address - Country:US
Mailing Address - Phone:603-428-3059
Mailing Address - Fax:
Practice Address - Street 1:2096 WEARE ROAD
Practice Address - Street 2:
Practice Address - City:HENNIKER
Practice Address - State:NH
Practice Address - Zip Code:03242
Practice Address - Country:US
Practice Address - Phone:603-545-7164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-22
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty