Provider Demographics
NPI:1437175692
Name:SHEPARD HAND THERAPY, LLC
Entity Type:Organization
Organization Name:SHEPARD HAND THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-382-3031
Mailing Address - Street 1:49 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PLAISTOW
Mailing Address - State:NH
Mailing Address - Zip Code:03865-3005
Mailing Address - Country:US
Mailing Address - Phone:603-382-3031
Mailing Address - Fax:603-382-5580
Practice Address - Street 1:49 MAIN ST
Practice Address - Street 2:
Practice Address - City:PLAISTOW
Practice Address - State:NH
Practice Address - Zip Code:03865-3005
Practice Address - Country:US
Practice Address - Phone:603-382-3031
Practice Address - Fax:603-382-5580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0684225X00000X
261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9760890Medicaid
DF3331OtherRAILROAD MEDICARE
NH3086927Medicaid
MAOG0054OtherBLUE CROSS BLUE SHIELD
MARE8726Medicare PIN