Provider Demographics
NPI:1609072701
Name:WILLEM VERWEIJ PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:WILLEM VERWEIJ PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLEM
Authorized Official - Middle Name:
Authorized Official - Last Name:VERWEIJ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:603-335-4700
Mailing Address - Street 1:306 N. MAIN STREET UNIT 5
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-4353
Mailing Address - Country:US
Mailing Address - Phone:603-335-4700
Mailing Address - Fax:603-335-4704
Practice Address - Street 1:306 N. MAIN STREET UNIT 5
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-4353
Practice Address - Country:US
Practice Address - Phone:603-335-4700
Practice Address - Fax:603-335-4704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1677225100000X
NH1661225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH08Y009941NH01OtherANTHEM FOR JULIE CURRIER
1225005317OtherNPI FOR JULIE CURRIER PT
NH30394075Medicaid
3434257OtherAETNA
08Y005532NH01OtherANTHEM
002867941OtherTRICARE
1152330OtherAETNA FOR JULIE CURRIER
AA11011OtherHARVARD PILGRIM HEALTH
0128756OtherCIGNA
1801784201OtherNPI FOR WILLEM VERWEIJ PT
NH30392805Medicaid
205224400OtherUS DOL WORKERS COMP
NH30394075Medicaid