Anick Bernier, PT
Individual provider Active NPI Physical Therapist · Fairhaven, MA
NPI 1124388640 · NPPES record last updated Feb 25, 2014
Key facts
- NPI
- 1124388640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 19983 (MA)
- Practice address
- 270 Huttleston Ave
Fairhaven, MA 02719-1605 - Phone
- (508) 997-9100
- Fax
- (508) 993-5854
- NPI assigned
- May 17, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140620000693 | MA | Practitioner - Physical Therapist in Private Practice | 9133343742 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19983 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fusion Physical Therapy Inc | Physical Therapist | Current |
Accepting new patients |
Locations
748 Ashley Blvd
New Bedford, MA 02745
Phone (508) 995-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 19983 | MA | Yes |
Addresses
Primary practice location
270 Huttleston Ave
Fairhaven, MA 02719-1605
Mailing address
270 Huttleston Ave
Fairhaven, MA 02719-1605
Phone (508) 997-9100
Other providers in Fairhaven, MA
- Michael L Barretti Jr.
- Fay R Bartling I
- Rachael Bednarz-Medeiros
- Behavioral Connections
- Elizabeth L. Bennett
- Bio-Medical Applications of Massachusetts, Inc.
- Gina Louise Biscaia
- Leanne M. Bishop
- Elizabeth M Blanchard
- Diane Doris Blier
All providers in Fairhaven, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.