Individual provider Active NPI

Nicole D. Poirier, PT

  • Physical Therapist
  • Salem, NH
National Provider Identifier
1154420297
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3413 Issued in NH
Practice address
23 Keewaydin Dr Ste 101
Salem, NH 03079-2857
Phone
(603) 912-7148
Fax
(603) 912-7149
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17687 MA
Physical Therapist 225100000X 3413 NH Primary

Addresses

Primary practice location

23 Keewaydin Dr Ste 101
Salem, NH 03079-2857

Mailing address

703 Granite St Ste 3
Braintree, MA 02184-5350
Phone (819) 613-3707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, ME3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060922000410 MA Practitioner - Physical Therapist in Private Practice 5597760652 Reassigns benefits to 2 organizations
I20220217000477 NH Practitioner - Physical Therapist in Private Practice 5597760652 Reassigns benefits to 1 organization
I20260209003251 ME Practitioner - Physical Therapist in Private Practice 5597760652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Brunswick Physical Therapy PAGroup PAC ID 8426019621, 17 clinicians
Merrimack Valley Physical TherapyGroup PAC ID 0840277869, 30 clinicians

Practice addresses (Care Compare)

1364 Congress St
Portland, ME 04102-2103
Phone (207) 204-5005

40 S River Rd
Unit 58
Bedford, NH 03110-6751
Phone (603) 626-4205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17687MAMDPhysical Therapist
3413NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Brunswick Physical Therapy P.a. Physical Therapist CurrentSince Feb 2, 2026 Accepting new patients
Proex Physical Therapy, LLC CurrentSince Oct 28, 2019 Accepting new patients
Proex Physical Therapy, LLC Physical Therapist CurrentSince Oct 28, 2019 Accepting new patients
Merrimack Valley Physical Therapy Physical Therapist CurrentSince Jan 31, 2022 Accepting new patients

Locations

6 Fortune Dr
Billerica, MA 01821
Phone (978) 408-2000

10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999

703 Granite St
Ste 3
Braintree, MA 02184

33 Electric Ave
Ste B10
Fitchburg, MA 01420
Phone (978) 353-0030

39 Cinema Blvd
Leominster, MA 01453
Phone (978) 466-6677

207 Daniel Shays Hwy
Orange, MA 01364
Phone (978) 633-4491

440 Middlesex Rd
Tyngsboro, MA 01879
Phone (978) 649-3880

1364 Congress St
Portland, ME 04102
Phone (207) 204-5005

11 Bowdoin Mill Is
Ste 260
Topsham, ME 04086
Phone (207) 729-1164

40 S River Rd
Unit 58
Bedford, NH 03110
Phone (603) 626-4205

85 S River Rd
Ste 4
Bedford, NH 03110
Phone (603) 626-4205

12 Parmenter Rd
Unit C7
Londonderry, NH 03053
Phone (603) 434-6592

23 Keewaydin Dr
Ste 101
Salem, NH 03079
Phone (603) 912-7148

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 5

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1154420297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 GRANITE ST STE 3",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845350",
            "telephone_number": "819-613-3707",
            "fax_number": "781-961-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 KEEWAYDIN DR STE 101",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792857",
            "telephone_number": "603-912-7148",
            "fax_number": "603-912-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POIRIER",
        "first_name": "NICOLE",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17687",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.