Ragged Mountain Physical Therapy is a medicare enrolled "Physical Therapist - Orthopedic" provider in Andover, New Hampshire. Their current practice location is
10 Lawrence Street, Andover, New Hampshire. You can reach out to their office (for appointments etc.) via phone at
(603) 735-5114.
Ragged Mountain Physical Therapy is licensed to practice in New Hampshire (license number 2130) and it also participates in the medicare program. Ragged Mountain Physical Therapy
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1215167556.
Healthcare Provider's Profile
Full Name | Ragged Mountain Physical Therapy |
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Type | Facility |
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Speciality | Physical Therapist - Orthopedic |
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Location | 10 Lawrence Street, Andover, New Hampshire |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215167556
- Provider Enumeration Date: 07/21/2009
- Last Update Date: 05/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547702797
- Enrollment ID: O20240604001415
Medical Identifiers
Medical identifiers for Ragged Mountain Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215167556 | NPI | - | NPPES |
30393122 | Medicaid | NH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251X0800X | Physical Therapist - Orthopedic | 2130 (New Hampshire) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Ragged Mountain Physical Therapy acts as a billing entity for following providers:
Provider Name | Diane M Fowler |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1144321720 PECOS PAC ID: 8820183957 Enrollment ID: I20071003000736 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ragged Mountain Physical Therapy is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ragged Mountain Physical Therapy Po Box 146, Andover, NH 03216-0146 Ph: (603) 735-5114 | Ragged Mountain Physical Therapy 10 Lawrence Street, Andover, NH 03216 Ph: (603) 735-5114 |
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