Provider Demographics
NPI:1083611719
Name:CIMINESI, TAMMY E (PT)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:E
Last Name:CIMINESI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 WOODHILL RD
Mailing Address - Street 2:
Mailing Address - City:BOW
Mailing Address - State:NH
Mailing Address - Zip Code:03304-5313
Mailing Address - Country:US
Mailing Address - Phone:603-774-8565
Mailing Address - Fax:
Practice Address - Street 1:40 PEMBROKE RD
Practice Address - Street 2:COMMUNITY BRIDGES
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5641
Practice Address - Country:US
Practice Address - Phone:603-225-4153
Practice Address - Fax:603-225-0376
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH28082251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH08Y004536NH01OtherANTHEM
NH30392270Medicaid
NHRE6997Medicare ID - Type Unspecified