| Derry Sports & Rehab, Llc | |
|
23a Crystal Ave, Derry, NH 03038-2415 | |
| (603) 437-3338 | |
| (603) 437-3255 |
| Full Name | Derry Sports & Rehab, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 23a Crystal Ave, Derry, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487670386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (New Hampshire) | Primary |
| 225X00000X | Occupational Therapist | (New Hampshire) | Secondary |
| Provider Name | Thomas J Karanasios |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467409177 PECOS PAC ID: 7719901503 Enrollment ID: I20060119000527 |
| Provider Name | Rebecca M Underwood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134178775 PECOS PAC ID: 5890603427 Enrollment ID: I20150428000271 |
| Provider Name | Zachary J Mercier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578080321 PECOS PAC ID: 1355615865 Enrollment ID: I20170922000239 |
| Provider Name | Robert E Armata |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588845861 PECOS PAC ID: 5496001794 Enrollment ID: I20180628001854 |
| Provider Name | Jennifer L Ireland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598963365 PECOS PAC ID: 8820189368 Enrollment ID: I20180628001927 |
| Provider Name | Madeline Bissaillon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194190348 PECOS PAC ID: 2961758420 Enrollment ID: I20180713001055 |
| Provider Name | Shad Hansen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720472483 PECOS PAC ID: 0446587166 Enrollment ID: I20190802002417 |
| Provider Name | Kiersten Marshman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760144786 PECOS PAC ID: 0446641591 Enrollment ID: I20211227001190 |
| Provider Name | Valerie Nesom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013645654 PECOS PAC ID: 6709252158 Enrollment ID: I20221026001838 |
| Provider Name | Jillian Therese Witwicki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780302273 PECOS PAC ID: 7810364270 Enrollment ID: I20221028000194 |
| Provider Name | Jonathan Paul Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083489520 PECOS PAC ID: 3476906397 Enrollment ID: I20240126003552 |
| Mailing Address | Practice Location Address |
|---|---|
| Derry Sports & Rehab, Llc 55 Bridge St, Manchester, NH 03101-1603 Ph: (603) 232-4513 | Derry Sports & Rehab, Llc 23a Crystal Ave, Derry, NH 03038-2415 Ph: (603) 437-3338 |
Seth Stoddard, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Tsienneto Rd, Suite 201, Derry, NH 03038 Phone: 603-437-3338 Fax: 603-437-3255 | |
Krista Jean Rogic, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 17 Village Brook Ln, Derry, NH 03038 Phone: 603-490-3706 | |
Laura Xintaras-labore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Tsienneto Rd, Derry, NH 03038 Phone: 603-437-3338 Fax: 603-437-3255 | |
Nicole M Rogers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Tsienneto Road, Suite 201, Derry, NH 03038 Phone: 603-421-9959 Fax: 603-421-9960 | |
Marcus Armando Vesprini, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 6 Tsienneto Rd, Derry, NH 03038 Phone: 603-421-9959 | |
Casey Mcnamara, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8 Peabody Rd, Derry, NH 03038 Phone: 603-434-1566 | |
Ariele A Mcgrath, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 84 W Broadway, Derry, NH 03038 Phone: 781-202-6613 |