Provider Demographics
NPI:1962703439
Name:POWERS PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:POWERS PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:MCSHEA
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:603-279-2480
Mailing Address - Street 1:1247 WASHINGTON RD STE 28
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NH
Mailing Address - Zip Code:03870-2345
Mailing Address - Country:US
Mailing Address - Phone:603-379-2480
Mailing Address - Fax:603-379-2485
Practice Address - Street 1:1247 WASHINGTON RD STE 28
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NH
Practice Address - Zip Code:03870-2345
Practice Address - Country:US
Practice Address - Phone:603-379-2480
Practice Address - Fax:603-379-2485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-15
Last Update Date:2020-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH33212251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty