Individual provider Active NPI

Jennifer L Ireland, DPT

  • Physical Therapist
  • Derry, NH
National Provider Identifier
1598963365
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3293 Issued in NH
Practice address
6 Tsienneto Rd
Suite 201
Derry, NH 03038-1584
Phone
(603) 437-3338
Fax
(603) 437-3255
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3293 NH Primary
Physical Therapist 225100000X 17963 MA

Addresses

Primary practice location

6 Tsienneto Rd
Suite 201
Derry, NH 03038-1584

Mailing address

6 Tsienneto Road
Suite 201
Derry, NH 03038-1584
Phone (603) 437-3338

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180628001927 NH Practitioner - Physical Therapist in Private Practice 8820189368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrimack Valley Physical TherapyGroup PAC ID 0840277869, 30 clinicians

Practice addresses (Care Compare)

835 Hanover St
Suite 102
Manchester, NH 03104-5401
Phone (603) 625-1864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3293NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Physical Therapy Physical Therapist CurrentSince Apr 15, 2019 Accepting new patients
Beantown Physio, Inc Physical Therapist PastSince Aug 2, 1999 Accepting new patients
Coppola Physical Therapy and Fitness Gym LLC Physical Therapist PastSince Jun 1, 2009 Accepting new patients

Locations

40 S River Rd
Unit 58
Bedford, NH 03110
Phone (603) 626-4205

5 Clinton St
Concord, NH 03301
Phone (603) 224-3511

12 Parmenter Rd
Unit C7
Londonderry, NH 03053
Phone (603) 434-6592

123 Nashua Rd
Unit 16
Londonderry, NH 03053
Phone (603) 434-6592

700 Lake Ave
Ste 2
Manchester, NH 03103
Phone (603) 621-0681

835 Hanover St
Ste 102
Manchester, NH 03104
Phone (603) 625-1864

76 Northeastern Blvd
Ste 24B
Nashua, NH 03062
Phone (603) 943-5029

Organizations & group practices 3

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1598963365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO ROAD",
            "address_2": "SUITE 201",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-437-3338",
            "fax_number": "603-437-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD",
            "address_2": "SUITE 201",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-437-3338",
            "fax_number": "603-437-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRELAND",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3293",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.