Individual provider Active NPI

Rebecca Fernandez

  • Physical Therapist
  • Goffstown, NH
National Provider Identifier
1659060697
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5143 Issued in NH
Practice address
89 S Mast St
Goffstown, NH 03045-6102
Phone
(603) 410-0096
NPI assigned
May 4, 2023
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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 5143 NH Primary

Addresses

Primary practice location

89 S Mast St
Goffstown, NH 03045-6102

Mailing address

6 Old Fremont Road Ext Ste 6
Raymond, NH 03077-2380

Other names 1

  • Rebecca Zylak Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230612000543 NH Practitioner - Physical Therapist in Private Practice 3577920206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Coppola Physical Therapy and Fitness Gym LLCGroup PAC ID 0345393302, 21 clinicians

Practice addresses (Care Compare)

6 Old Fremont Rd Ext
Suite 6
Raymond, NH 03077-2380
Phone 6037957380305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coppola Physical Therapy and Fitness Gym LLC Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
Coppola Physical Therapy Farmington LLC Physical Therapist Past Accepting new patients

Locations

143 Raymond Rd
Unit 8
Candia, NH 03034
Phone (603) 483-3355

6 Tsienneto Rd
Ste 201
Derry, NH 03038
Phone 6034219959305

89 S Mast St
Goffstown, NH 03045
Phone 6034100096305

6 Old Fremont Road Ext
Ste 6
Raymond, NH 03077
Phone 6037957380305

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1659060697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OLD FREMONT ROAD EXT STE 6",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "030772380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 S MAST ST",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030456102",
            "telephone_number": "603-410-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "5143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "ZYLAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goffstown, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.