Provider Demographics
NPI:1437930120
Name:ANCHOR PHYSICAL THERAPY & PERFORMANCE PLLC
Entity Type:Organization
Organization Name:ANCHOR PHYSICAL THERAPY & PERFORMANCE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LEPAGE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:603-440-5780
Mailing Address - Street 1:53 MCNABB CT
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4431
Mailing Address - Country:US
Mailing Address - Phone:603-440-5780
Mailing Address - Fax:
Practice Address - Street 1:114 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-6815
Practice Address - Country:US
Practice Address - Phone:603-267-4272
Practice Address - Fax:603-766-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty