Chelsey Rose Caron
Individual provider Active NPI Physical Therapist · Gorham, NH
NPI 1639724693 · NPPES record last updated Aug 3, 2023
Key facts
- NPI
- 1639724693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5197 (NH)
- Practice address
- 167 Main St
Gorham, NH 03581-1637 - Phone
- (603) 342-5060
- NPI assigned
- Aug 7, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Androscoggin Valley Hospital Inc
Practice addresses (Care Compare)
167 Main St
Gorham, NH 03581-1637
Phone (603) 342-5060
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250612002684 | NH | Practitioner - Physical Therapist in Private Practice | 8729599246 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5197 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Androscoggin Valley Hospital, Inc. | Current |
Accepting new patients | |
| Androscoggin Valley Hospital Inc | Current |
Accepting new patients |
Locations
59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200
167 Main St
Gorham, NH 03581
Phone (603) 342-5060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | 5197 | NH | Yes |
Addresses
Primary practice location
167 Main St
Gorham, NH 03581-1637
Mailing address
86 Bemis St
Berlin, NH 03570-3337
Phone (603) 723-0362
Other providers in Gorham, NH
- Alison Bernier
- Brady Allen Binette
- Kyle Matthew Boisselle
- Karen S. Bradley
- Megan Brotz
- Lynn Chauvette
- Avinash Thomas Cherian
- Maryanne Eileen Christiansen
- Brenna Katherine Cloutier
- Coos County Family Health Services, Inc
All providers in Gorham, NH · Physical Therapist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.