Provider Demographics
NPI:1184605222
Name:KATHRYN LINDA SCHWARTZ
Entity type:Organization
Organization Name:KATHRYN LINDA SCHWARTZ
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:LINDA
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:603-772-0708
Mailing Address - Street 1:187A HIGH ST
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-3125
Mailing Address - Country:US
Mailing Address - Phone:603-772-0708
Mailing Address - Fax:603-772-3491
Practice Address - Street 1:187A HIGH ST
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-3125
Practice Address - Country:US
Practice Address - Phone:603-772-0708
Practice Address - Fax:603-772-3491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-07
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH5432255OtherAETNA GROUP NUMBER
NHAA26635OtherHARVARD PILGRIM GROUP #
NH5909607OtherCIGNA PROVIDER #
NHRE5601Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER