Active NPI
Ashley Elisabeth Bergeron
- Physical Therapist
- Londonderry, NH
National Provider Identifier
1124556774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4209
- Practice address
- 6 Buttrick Rd Ste 100
Londonderry, NH 03053-3417 - Phone
- (603) 537-1700
- Fax
- (603) 537-1777
- NPI assigned
- May 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4209 | NH | Primary |
Addresses
Primary practice location
6 Buttrick Rd Ste 100
Londonderry, NH 03053-3417
Mailing address
73 Newton Rd Unit 101
Plaistow, NH 03865-2440
Phone (978) 388-7272
Other names 1
- Ashley Elisabeth Noke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4209 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1124556774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 NEWTON RD UNIT 101",
"city": "PLAISTOW",
"state": "NH",
"postal_code": "038652440",
"telephone_number": "978-388-7272",
"fax_number": "978-388-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 BUTTRICK RD STE 100",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533417",
"telephone_number": "603-537-1700",
"fax_number": "603-537-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGERON",
"first_name": "ASHLEY",
"middle_name": "ELISABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-26",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "4209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "NOKE",
"middle_name": "ELISABETH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Londonderry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.