Active NPI
Kristin Sarah Cancelliere, DPT
- Physical Therapist
- Manchester, NH
National Provider Identifier
1265135644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13803
- Practice address
- 235 Myrtle St
Manchester, NH 03104-4314 - Phone
- (603) 627-3811
- NPI assigned
- Mar 23, 2023
- Last updated
- Mar 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 13803 | CT | Primary |
Addresses
Primary practice location
235 Myrtle St
Manchester, NH 03104-4314
Mailing address
335 Parsonage St
Rocky Hill, CT 06067-2150
Phone (860) 819-9477
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13803 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1265135644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 PARSONAGE ST",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060672150",
"telephone_number": "860-819-9477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 MYRTLE ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031044314",
"telephone_number": "603-627-3811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANCELLIERE",
"first_name": "KRISTIN",
"middle_name": "SARAH",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-23",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "13803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.