Provider Demographics
NPI:1588674477
Name:HORSESHOE POND PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:HORSESHOE POND PHYSICAL THERAPY LLC
Other - Org Name:FOOTHILLS PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:M
Authorized Official - Last Name:DONOHUE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:603-225-5132
Mailing Address - Street 1:28 COMMERICAL ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301
Mailing Address - Country:US
Mailing Address - Phone:603-225-5132
Mailing Address - Fax:603-225-6061
Practice Address - Street 1:28 COMMERICAL ST
Practice Address - Street 2:SUITE 4
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:603-225-5132
Practice Address - Fax:603-225-6061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
6404291OtherUNITED
NH30391170Medicaid
53623OtherCIGNA
AA13115OtherHARVARD PILGRIM
NHHORE5976Medicare ID - Type Unspecified