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LOOK BACK REJUVENATION, LLC.
NPI 1811566193
Clinic/Center - Medical Specialty in Nashua, NH

Active since June 22, 2021CLIA 30D2344552 · Waiver

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Look Back Rejuvenation, Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOOK BACK REJUVENATION, LLC. (NPI 1811566193) is a healthcare organization registered as a medical specialty in Nashua, New Hampshire and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through May 25, 2028 and lists Deanna L Benjamin, Aprn, as its authorized official.

NPPES Registry Identity

NPI1811566193
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameLOOK BACK REJUVENATION, LLC.
Location Address382 MAIN STNashua, NH 03060-5046
Mailing AddressPo Box 82Merrimack, NH 03054-0082 · (603) 440-5803
Phone(603) 440-5803
Organization SubpartNo
Authorized OfficialDeanna L BenjaminAprn · (603) 440-5803
Enumeration DateJune 22, 2021
NPPES CertifiedJune 22, 2021
✔ NPI 1811566193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
382 MAIN ST, Nashua, NH 03060
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 30D2344552

Look Back Rejuvenation, LLC · Nashua, NH
Active · expires May 25, 2028
CLIA Number30D2344552
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMay 25, 2028
Laboratory DirectorDeanna L. Benjamin
Laboratory Phone(603) 440-5803
Laboratory LocationLook Back Rejuvenation, LLC110 Daniel Webster Hwy, 1st Fl, Ste 105, Nashua, NH 03060
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAIN STREET CHIROPRACTIC, LLC
Nurse Practitioner (Family)
382 MAIN ST
NASHUA, NH 03060
Hillsborough County (603) 882-5742
DR. JILL R BURNS D.C.
Chiropractor
382 MAIN ST
NASHUA, NH 03060
Hillsborough County (603) 889-7000
BRETT ASHENFELTER DPT
Physical Therapist
382 MAIN ST, SUITE B
NASHUA, NH 03060
Hillsborough County (603) 821-9194
OAK PHYSICAL THERAPY LLC
Clinic/Center (Physical Therapy)
382 MAIN ST, SUITE B
NASHUA, NH 03060
Hillsborough County (603) 821-9194
DR. NOAH GOSSELIN DC
Chiropractor
382 MAIN ST
NASHUA, NH 03060
Hillsborough County (603) 882-5742
DR. SEAN MICHAEL JORDAN DPT, ATC, CSCS
Physical Therapist
382 MAIN ST
NASHUA, NH 03060
Hillsborough County (603) 882-5742
DR. CHARLES WEISS DPT
Physical Therapist
382 MAIN ST, SUITE B
NASHUA, NH 03060
Hillsborough County (603) 882-5742
DR. CAROL A PARNELL PREVOST D.C.
Chiropractor
382 MAIN ST
NASHUA, NH 03060
Hillsborough County (603) 882-5742

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Look Back Rejuvenation, LLC.'s NPI number?

The NPI number for Look Back Rejuvenation, LLC. is 1811566193. It was assigned to this organization in the NPPES registry on June 22, 2021.

Where is Look Back Rejuvenation, LLC. located?

Look Back Rejuvenation, LLC. is located at 382 Main St, Nashua, NH 03060. The listed phone number is (603) 440-5803.

What is Look Back Rejuvenation, LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Look Back Rejuvenation, LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 30D2344552) is associated with this NPI, valid through May 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Look Back Rejuvenation, LLC. was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.