Provider Demographics
NPI:1073268462
Name:LIMA, PAYTON AMBER (DPT)
Entity Type:Individual
Prefix:MS
First Name:PAYTON
Middle Name:AMBER
Last Name:LIMA
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 1:69 UNDERHILL ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-4011
Mailing Address - Country:US
Mailing Address - Phone:978-985-9564
Mailing Address - Fax:
Practice Address - Street 1:15 W UNION ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:MA
Practice Address - Zip Code:01721-1464
Practice Address - Country:US
Practice Address - Phone:508-881-6750
Practice Address - Fax:508-881-6760
Is Sole Proprietor?:No
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA25991225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist