Provider Demographics
NPI:1841470796
Name:CROSSPOINT PHYSICAL THERAPY L.L.C.
Entity type:Organization
Organization Name:CROSSPOINT PHYSICAL THERAPY L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MERCER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:603-430-3004
Mailing Address - Street 1:95 BREWERY LN
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4994
Mailing Address - Country:US
Mailing Address - Phone:603-430-3004
Mailing Address - Fax:603-430-0045
Practice Address - Street 1:95 BREWERY LN
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4994
Practice Address - Country:US
Practice Address - Phone:603-430-3004
Practice Address - Fax:603-430-0045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1699225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH2283411OtherFIRST HEALTH
NHAA22631OtherHARVARD PILGRIM
NH30393236Medicaid
NH7874819OtherAETNA
NHAS47872440001OtherCIGNA
NH2283411OtherFIRST HEALTH