Individual provider Active NPI

Melissa Gagne, PT

  • Physical Therapist
  • Somersworth, NH
National Provider Identifier
1710135017
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3355 Issued in NH
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

Updated by the provider on Jun 10, 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 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 Former name

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

LicenseStateTypeSpecialty
19004MAMDDentist
3355NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.