Individual provider Active NPI

Erin Ensel

  • Physical Therapist
  • Amesbury, MA
National Provider Identifier
1508433897
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20072 Issued in MA
Practice address
110 Haverhill Rd Ste 101
Amesbury, MA 01913-2139
Phone
(855) 390-7774
Fax
(855) 734-4666
NPI assigned
Jun 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20072 MA Primary

Addresses

Primary practice location

110 Haverhill Rd Ste 101
Amesbury, MA 01913-2139

Mailing address

1 Stiles Rd Ste 203
Salem, NH 03079-4804
Phone (855) 390-7774

Other identifiers 1

IdentifierTypeStateIssuer
20072OtherMAMA STATE PT LICENSE

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

LicenseStateTypeSpecialty
20072MAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1508433897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STILES RD STE 203",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030794804",
            "telephone_number": "855-390-7774",
            "fax_number": "855-734-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD STE 101",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132139",
            "telephone_number": "855-390-7774",
            "fax_number": "855-734-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSEL",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA STATE PT LICENSE",
            "identifier": "20072",
            "state": "MA"
        }
    ],
    "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 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.