Provider Demographics
NPI:1316029622
Name:APPLE THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:APPLE THERAPY SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:BISKOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:603-537-1677
Mailing Address - Street 1:29 KOSCIUSZKO ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1624
Mailing Address - Country:US
Mailing Address - Phone:603-537-1677
Mailing Address - Fax:603-537-1676
Practice Address - Street 1:41 BUTTRICK RD
Practice Address - Street 2:MEDICAL PARK TWO
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3367
Practice Address - Country:US
Practice Address - Phone:603-537-1677
Practice Address - Fax:603-537-1676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2856225100000X
NH1666225X00000X
NH2858225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHAA1641OtherHP GROUP NUMBER
NH210006300OtherACS PROVIDER NUMBER