Provider Demographics
NPI:1962777227
Name:OCEANSIDE PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:OCEANSIDE PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRISTIN
Authorized Official - Middle Name:TUTHILL
Authorized Official - Last Name:ZAIMES
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:603-686-2617
Mailing Address - Street 1:118 PORTSMOUTH AVE STE B101
Mailing Address - Street 2:
Mailing Address - City:STRATHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03885-4434
Mailing Address - Country:US
Mailing Address - Phone:603-580-4494
Mailing Address - Fax:603-580-4495
Practice Address - Street 1:118 PORTSMOUTH AVE
Practice Address - Street 2:SUITE A1A
Practice Address - City:STRATHAM
Practice Address - State:NH
Practice Address - Zip Code:03885
Practice Address - Country:US
Practice Address - Phone:603-580-4494
Practice Address - Fax:603-580-4495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-19
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0025890Medicare PIN