Provider Demographics
NPI:1194794818
Name:HAMPSHIRE HILLS CLINIC FOR PHYSICAL THERAPY & SPORTS MEDICINE
Entity type:Organization
Organization Name:HAMPSHIRE HILLS CLINIC FOR PHYSICAL THERAPY & SPORTS MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASSAD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:603-672-4478
Mailing Address - Street 1:P. O. BOX 136
Mailing Address - Street 2:50 EMERSON ROAD
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055
Mailing Address - Country:US
Mailing Address - Phone:603-672-4478
Mailing Address - Fax:603-672-2436
Practice Address - Street 1:50 EMERSON ROAD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055
Practice Address - Country:US
Practice Address - Phone:603-672-4478
Practice Address - Fax:603-672-2436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Multi-Specialty
Not Answered2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
Not Answered2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Multi-Specialty
Not Answered2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH424787OtherPHCS GRP #
NH2758986001OtherCIGNA GRP #
NH653731OtherHPHC GRP #
NH727209OtherTUFTS GRP #
NH653731OtherHPHC GRP #