Individual provider Active NPI

Michele L Manchester, P.T.

  • Physical Therapist
  • North Andover, MA
National Provider Identifier
1508909862
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11363 Issued in MA
Practice address
231 Sutton St
Suite 1C
North Andover, MA 01845-1620
Phone
(978) 685-8059
Fax
(978) 685-6421
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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 11363 MA Primary

Addresses

Primary practice location

231 Sutton St
Suite 1C
North Andover, MA 01845-1620

Mailing address

231 Sutton St
Suite 1C
North Andover, MA 01845-1620
Phone (978) 685-8059

Other identifiers 2

IdentifierTypeStateIssuer
MAY67992OtherMABLUE CROSS
0397938MedicaidMA

Other names 1

  • Miss Michele L Croteau Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060412000453 MA Practitioner - Physical Therapist in Private Practice 8921017393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic and Sports Medicine Specialists, Inc.Group PAC ID 8325066905, 7 clinicians

Practice addresses (Care Compare)

231 Sutton St
Suite 1C
North Andover, MA 01845-1620
Phone (978) 685-8059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic and Sports Medicine Specialists, Inc. Physical Therapist CurrentSince Nov 1, 2001 Accepting new patients
Therafit-Tewksbury, Inc. Physical Therapist PastSince Nov 1, 2001 Accepting new patients

Locations

231 Sutton St
Ste 1C
North Andover, MA 01845
Phone (978) 685-8059

Organizations & group practices 2

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1508909862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SUTTON ST",
            "address_2": "SUITE 1C",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451620",
            "telephone_number": "978-685-8059",
            "fax_number": "978-685-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SUTTON ST",
            "address_2": "SUITE 1C",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451620",
            "telephone_number": "978-685-8059",
            "fax_number": "978-685-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHESTER",
        "first_name": "MICHELE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "MAY67992",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0397938",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "CROTEAU",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.