Active NPI
Kelley Ann Frost-Nelson, PT
- Physical Medicine & Rehabilitation Physician
- Portsmouth, NH
National Provider Identifier
1679761894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 1295
- Practice address
- 15 Rye Street
Ste 125 Pease International Tradeport
Portsmouth, NH 03801 - Phone
- (603) 610-2200
- Fax
- (603) 610-2202
- NPI assigned
- Oct 12, 2007
- 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 Medicine & Rehabilitation Physician | 208100000X | 1295 | NH | Primary |
Addresses
Primary practice location
15 Rye Street
Ste 125 Pease International Tradeport
Portsmouth, NH 03801
Mailing address
15 Rye Street
Ste 125 Pease International Tradeport
Portsmouth, NH 03801
Phone (603) 610-2200
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 |
|---|---|---|---|
| 1295 | NH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merrimack Valley Physical Therapy | Past | Accepting new patients | |
| Sport and Spine Physical Therapy Inc. | Physical Medicine & Rehabilitation | Past | Accepting new patients |
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.
-
- Physical Therapist
- Bedford, NH
- NPI 1194771139
-
- Physical Medicine & Rehabilitation Physician
- Portsmouth, NH
- NPI 1922106467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1679761894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 RYE STREET",
"address_2": "STE 125 PEASE INTERNATIONAL TRADEPORT",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "03801",
"telephone_number": "603-610-2200",
"fax_number": "603-610-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 RYE STREET",
"address_2": "STE 125 PEASE INTERNATIONAL TRADEPORT",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "03801",
"telephone_number": "603-610-2200",
"fax_number": "603-610-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST-NELSON",
"first_name": "KELLEY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-12",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NH",
"license": "1295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.