Provider Demographics
NPI:1265667695
Name:SHARMA, AJIT (PT)
Entity Type:Individual
Prefix:MR
First Name:AJIT
Middle Name:
Last Name:SHARMA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:MR
Other - First Name:AJIT
Other - Middle Name:
Other - Last Name:KUMAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:288 S RIVER RD BLDG A3
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6815
Mailing Address - Country:US
Mailing Address - Phone:339-224-7837
Mailing Address - Fax:
Practice Address - Street 1:288 S RIVER RD BLDG A3
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6815
Practice Address - Country:US
Practice Address - Phone:339-224-7837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-29
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18607225100000X
NH3704314000000X
2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility