Individual provider Active NPI

Nicole Harrison

  • Physical Therapist
  • Nashua, NH
National Provider Identifier
1083437693
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5598 Issued in NH
Practice address
157 Main Dunstable Rd Ste 202
Nashua, NH 03060-3641
Phone
(603) 595-7511
NPI assigned
Nov 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5598 NH Primary

Addresses

Primary practice location

157 Main Dunstable Rd Ste 202
Nashua, NH 03060-3641

Mailing address

157 Main Dunstable Rd Ste 202
Nashua, NH 03060-3641

Other identifiers 1

IdentifierTypeStateIssuer
5598OtherNHOFFICE OF PROFESSIONAL LICENSURE AND CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241206000743 NH Practitioner - Physical Therapist in Private Practice 4486180031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

157 Main Dunstable Rd
Suite 202
Nashua, NH 03060-3641
Phone (603) 881-5554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5598NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Opt: Orthopedic Physical Therapy and Wellness Center, Inc. Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients

Locations

157 Main Dunstable Rd
Ste 202
Nashua, NH 03060
Phone (603) 595-7511

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1083437693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 MAIN DUNSTABLE RD STE 202",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 MAIN DUNSTABLE RD STE 202",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603641",
            "telephone_number": "603-595-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "5598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF PROFESSIONAL LICENSURE AND CERTIFICATION",
            "identifier": "5598",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.