Individual provider Active NPI

Nicole Bertera

  • Physical Therapist
  • Wilmington, MA
National Provider Identifier
1114750296
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27858 Issued in MA
Practice address
33 Upton Dr
Wilmington, MA 01887-4446
Phone
(978) 694-1440
NPI assigned
Aug 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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 27858 MA Primary

Addresses

Primary practice location

33 Upton Dr
Wilmington, MA 01887-4446

Mailing address

33 Upton Dr
Wilmington, MA 01887-4446

Other names 1

  • Nicole Senechal Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905000260 MA Practitioner - Physical Therapist in Private Practice 6305386392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harmeling Physical Therapy and Sports Fitness IncGroup PAC ID 8123917929, 17 clinicians

Practice addresses (Care Compare)

33 Upton Dr
Wilmington, MA 01887-4446
Phone (978) 694-1440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harmeling Physical Therapy & Sports Fitness, Inc. Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients

Locations

5A Hutchinson Dr
Danvers, MA 01923
Phone (978) 750-8188

255 Grapevine Rd
Wenham, MA 01984
Phone (978) 524-0000

33 Upton Dr
Wilmington, MA 01887
Phone (978) 694-1440

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": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1114750296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 UPTON DR",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018874446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 UPTON DR",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018874446",
            "telephone_number": "978-694-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTERA",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "27858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SENECHAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.