DERRY SPORTS & REHAB LLC
NPI 1023212198
Physical Therapist in Salem, NH

Active since June 13, 2007
159 N BROADWAY, SALEM, NH 03079(603) 898-9947(603) 898-9949 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Physical Therapist
  • Accepts Insurance

About DERRY SPORTS & REHAB LLC

This page provides the complete NPI Profile along with additional information for Derry Sports & Rehab Llc, a provider established in Salem, New Hampshire operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1023212198 assigned on June 2007. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated one year ago. Derry Sports & Rehab Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Nicholas Vailas (Owner)

NPI
1023212198 Verify this NPI
Provider Name
DERRY SPORTS & REHAB LLC
Other Name Type
(6)
Entity Type
Organization
Location Address
159 N BROADWAY SALEM, NH 03079
Location Phone
(603) 898-9947
Location Fax
(603) 898-9949
Mailing Address
55 BRIDGE ST MANCHESTER, NH 03101
Mailing Phone
(603) 232-4513
Mailing Fax
(603) 782-5123
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-13-2007
Last Update Date
07-17-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred Blue PPO 6000/20%/8000 w/HSA - PPO
  • Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA - PPO
  • Anthem Bronze Preferred Blue PPO 7500/30%/10000 Value - PPO
  • Anthem Bronze Preferred Blue PPO 8500/50%/9200 - PPO
  • Anthem Gold Preferred Blue PPO 1000/20%/7500 - PPO
  • Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD - PPO
  • Anthem Gold Preferred Blue PPO 2000/10%/4600 w/HSA - PPO
  • Anthem Gold Preferred Blue PPO 2000/10%/7500 - PPO
  • Anthem Gold Preferred Blue PPO 2000/20%/4600 w/HSA - PPO
  • Anthem Gold Preferred Blue PPO 3000/0%/7500 RxD - PPO
  • Anthem Gold Preferred Blue PPO 500/30%/9000 - PPO
  • Anthem Platinum Preferred Blue PPO 250/10%/3500 - PPO
  • Anthem Silver Preferred Blue PPO 2500/30%/10000 Value - PPO
  • Anthem Silver Preferred Blue PPO 3000/30%/9000 Value - PPO
  • Anthem Silver Preferred Blue PPO 3500/20%/10000 - PPO
  • Anthem Silver Preferred Blue PPO 3500/20%/7250 w/HSA - PPO
  • Anthem Silver Preferred Blue PPO 4000/0%/9000 - PPO
  • Anthem Silver Preferred Blue PPO 4000/0%/9000 RxD - PPO
  • Anthem Silver Preferred Blue PPO 4000/10%/7250 w/HSA - PPO
  • Anthem Silver Preferred Blue PPO 4000/20%/8500 - PPO
  • Anthem Bronze Pathway X Enhanced 6000/35% HSA - HMO
  • Anthem Bronze Pathway X Enhanced 7000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
  • Anthem Catastrophic Pathway X Enhanced - HMO
  • Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Gold Pathway X Enhanced 2000/25% ($0 Virtual PCP + $0 Select Drug) Standard - HMO
  • Anthem Gold Pathway X Enhanced 700/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway X Enhanced 6000/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway X Enhanced 4500/20% HSA - HMO
  • Anthem Silver Pathway X Enhanced 5500/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway X Enhanced 6000/40% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Bronze Pathway X HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Pathway X HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Pathway X HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Pathway X HMO 8500/50%/9200 - HMO
  • NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO HSA Bronze 6000 - HMO
  • NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Gold 2000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Silver 6000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NICHOLAS VAILAS

Authorized Official Title
OWNER
Authorized Official Phone
(603) 232-4513

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1487670386OTHER (01)NHNPI

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
159 N BROADWAY
SALEM, NH 03079
Family Medicine
159 N BROADWAY
SALEM, NH 03079
Physician Assistant
159 N BROADWAY
SALEM, NH 03079
Physician Assistant
159 N BROADWAY
SALEM, NH 03079
Physical Therapist
159 N BROADWAY
SALEM, NH 03079
Clinic/Center (Urgent Care)
159 N BROADWAY
SALEM, NH 03079
Internal Medicine (Clinical & Laboratory Immunology)
159 N BROADWAY
SALEM, NH 03079
Student in an Organized Health Care Education/Training Program
159 N BROADWAY
SALEM, NH 03079
Physician Assistant (Medical)
159 N BROADWAY
SALEM, NH 03079
Physical Therapist
159 N BROADWAY
SALEM, NH 03079

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023212198, enumerated as an "organization" on June 13, 2007.

The provider is located at 159 N BROADWAY SALEM, NH 03079 and the phone number is (603) 898-9947.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. Please consult your insurance carrier or call the provider to verify.