Provider Demographics
NPI:1629203484
Name:LOMBARDI, DANIEL J (PT)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:J
Last Name:LOMBARDI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:73 NEWTON RD
Mailing Address - Street 2:STE 101
Mailing Address - City:PLAISTOW
Mailing Address - State:NH
Mailing Address - Zip Code:03865-2424
Mailing Address - Country:US
Mailing Address - Phone:978-388-7272
Mailing Address - Fax:978-388-7373
Practice Address - Street 1:255 ROUTE 108
Practice Address - Street 2:SUITE 2
Practice Address - City:SOMERSWORTH
Practice Address - State:NH
Practice Address - Zip Code:03878-1543
Practice Address - Country:US
Practice Address - Phone:603-841-5441
Practice Address - Fax:603-841-5630
Is Sole Proprietor?:No
Enumeration Date:2009-05-22
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MEPT3723225100000X
NH3431225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH001345801Medicare PIN
NH001345801Medicare PIN