Provider Demographics
NPI:1720104581
Name:ALNWICK, GREGORY (DPT)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:
Last Name:ALNWICK
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 WOODBOUND RD
Mailing Address - Street 2:
Mailing Address - City:GORHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03581-4803
Mailing Address - Country:US
Mailing Address - Phone:603-466-5466
Mailing Address - Fax:
Practice Address - Street 1:232 MAIN ST
Practice Address - Street 2:
Practice Address - City:GORHAM
Practice Address - State:NH
Practice Address - Zip Code:03581-1500
Practice Address - Country:US
Practice Address - Phone:603-466-5972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2703225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHAA63614OtherHARVARD PILGRIM
NH30392402Medicaid
NH57401OtherGENESIS REHAB CIGNA
NH5440698OtherHEALTHCARE VALUE MANAGEME
NH1004234OtherANTHEM BC BS