Active NPI
Melissa Gagne, PT
- Physical Therapist
- Somersworth, NH
National Provider Identifier
1710135017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3355
- Practice address
- 7 Marsh Brook Dr
Suite 101
Somersworth, NH 03878-6523 - Phone
- (603) 749-6686
- Fax
- (603) 750-3174
- NPI assigned
- Aug 29, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3355 | NH | Primary |
| Physical Therapist | 225100000X | 19004 | MA |
Addresses
Primary practice location
7 Marsh Brook Dr
Suite 101
Somersworth, NH 03878-6523
Mailing address
200 Route 108
Suite 3
Somersworth, NH 03878-1119
Phone (603) 742-7492
Other names 1
- Melissa Philbrook
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 |
|---|---|---|---|
| 19004 | MA | MD | Dentist |
| 3355 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burlington Physical Therapy, PC, Dba Orthopaedics Plus | Physical Therapist | Past | Accepting new patients |
| Burlington Physical Therapy, PC Dba Orthopaedics Plus | Physical Therapist | 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
- Beverly, MA
- NPI 1912204850
-
- Physical Therapist
- Bedford, MA
- NPI 1932130465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1710135017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 ROUTE 108",
"address_2": "SUITE 3",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038781119",
"telephone_number": "603-742-7492",
"fax_number": "603-742-6762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 MARSH BROOK DR",
"address_2": "SUITE 101",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038786523",
"telephone_number": "603-749-6686",
"fax_number": "603-750-3174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGNE",
"first_name": "MELISSA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-29",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "3355",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "19004",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "PHILBROOK",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Somersworth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.