Pamela Desjardins, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1884 Issued in NH

Practice address

12 Meadow LN
Salem, NH 03079-2414

Phone

(603) 321-7122

NPI assigned

Jul 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH, MA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thrive Rehab Services PLLCGroup PAC ID 4284078304, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thrive Rehab Services, PLLC

  • Physical Therapy Assistant
  • Haverhill, MA
  • NPI 1639945751

  NH, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Keka Services, Inc

  • Geriatric Physical Therapist
  • Hyde Park, MA
  • NPI 1790473528
  Medicare reassignment NPD

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1104234988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MEADOW LN",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MEADOW LN",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792414",
            "telephone_number": "603-321-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESJARDINS",
        "first_name": "PAMELA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "1884",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "10593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Rita Denapoli, PT
• Suzanne Marie Denu, MT-BC
• Denise Depino
• Derry Sports & Rehab LLC
• Laurie Tucker Descheneaux, PT, DPT
• Nancy Desouza, PT
• Sushmita Dhakal-Karki, PHARMD
• Michelle Diaz-Collins, PT, DPT
• Suzanne Dibble, OTRL
• James F Dickerson, DMD

• Physical Therapist in Salem, NH
• Providers in Salem, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.