Provider Demographics
NPI:1972981256
Name:SOBY, MEGHAN (DPT)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:SOBY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 ELM ST
Mailing Address - Street 2:REHABILITATION
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743
Mailing Address - Country:US
Mailing Address - Phone:603-542-1878
Mailing Address - Fax:603-542-1813
Practice Address - Street 1:17 MAIN STREET
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:NH
Practice Address - Zip Code:03773
Practice Address - Country:US
Practice Address - Phone:603-542-1878
Practice Address - Fax:603-542-1813
Is Sole Proprietor?:No
Enumeration Date:2015-05-07
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3940225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHT400238490OtherMEDICARE PTAN
NH3103214Medicaid