Axis Pelvic Floor Therapy and Wellness, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

AXIS PELVIC FLOOR THERAPY AND WELLNESS, LLC

Practice address

4 Noela Ave
Pelham, NH 03076-3336

Phone

(603) 682-9630

NPI assigned

Mar 28, 2022

Last updated

Mar 28, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Colleen Shovlin, MS, OTR/LNPI 1265837579

Title

Occupational Therapist

Phone

(603) 682-9630

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH, MA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Colleen Shovlin, OTR

  • Occupational Therapist
  • Amesbury, MA
  • NPI 1265837579

  NH

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1083364434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NOELA AVE",
            "city": "PELHAM",
            "state": "NH",
            "postal_code": "030763336",
            "telephone_number": "603-682-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NOELA AVE",
            "city": "PELHAM",
            "state": "NH",
            "postal_code": "030763336",
            "telephone_number": "603-682-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS PELVIC FLOOR THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "SHOVLIN",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "603-682-9630",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Pelham, NH
• Providers in Pelham, NH by specialty
• Occupational Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.