Basic Information
Provider Information
NPI: 1033848353
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CAREY
FirstName: ALLISON
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PT, DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 45 THURLOW ST
Address2:  
City: PLYMOUTH
State: NH
PostalCode: 032641311
CountryCode: US
TelephoneNumber: 6037266343
FaxNumber:  
Practice Location
Address1: 1095 PROFILE RD
Address2:  
City: FRANCONIA
State: NH
PostalCode: 035804938
CountryCode: US
TelephoneNumber: 6038238600
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/10/2022
LastUpdateDate: 06/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/10/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X5004NHY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


Home