Active NPI
Patricia Desrocher, PT
- Physical Therapist
- Amesbury, MA
National Provider Identifier
1407177363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6563
- Practice address
- 110 Haverhill Rd
Suite 401
Amesbury, MA 01913-2123 - Phone
- (978) 388-4500
- Fax
- (978) 388-8255
- NPI assigned
- Jun 15, 2010
- Last updated
- Jun 15, 2010
- 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 | 6563 | MA | Primary |
Addresses
Primary practice location
110 Haverhill Rd
Suite 401
Amesbury, MA 01913-2123
Mailing address
110 Haverhill Rd
Suite 401
Amesbury, MA 01913-2123
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 |
|---|---|---|---|
| 6563 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1407177363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 HAVERHILL RD",
"address_2": "SUITE 401",
"city": "AMESBURY",
"state": "MA",
"postal_code": "019132123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 HAVERHILL RD",
"address_2": "SUITE 401",
"city": "AMESBURY",
"state": "MA",
"postal_code": "019132123",
"telephone_number": "978-388-4500",
"fax_number": "978-388-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESROCHER",
"first_name": "PATRICIA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-15",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "6563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amesbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.