Active NPI
Michele Lynn Tremblay
- Physical Therapist
- Windham, NH
National Provider Identifier
1538735501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 58 Range Rd Ste 16
Windham, NH 03087-2026 - Phone
- (603) 890-8844
- NPI assigned
- Jun 1, 2021
- 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 | Primary |
Addresses
Primary practice location
58 Range Rd Ste 16
Windham, NH 03087-2026
Mailing address
58 Range Rd Ste 16
Windham, NH 03087-2026
Other practice location 1
542 Mast Rd Ste 4
Goffstown, NH 03045-5258
Phone (603) 890-8844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3129975 | Medicaid | NH |
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 |
|---|---|---|---|
| 4827 | NH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1538735501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 RANGE RD STE 16",
"city": "WINDHAM",
"state": "NH",
"postal_code": "030872026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 RANGE RD STE 16",
"city": "WINDHAM",
"state": "NH",
"postal_code": "030872026",
"telephone_number": "603-890-8844"
}
],
"practiceLocations": [
{
"address_1": "542 Mast Rd Ste 4",
"address_purpose": "LOCATION",
"city": "Goffstown",
"state": "NH",
"postal_code": "030455258",
"country_code": "US",
"telephone_number": "603-890-8844",
"fax_number": "603-890-8845",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TREMBLAY",
"first_name": "MICHELE",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3129975",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Windham, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.