Elise Fengler

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

161 College Ave
Medford, MA 02155-5593

Phone

(617) 627-5102

Fax

(617) 627-2185

NPI assigned

Aug 31, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Orthopedic and Sports Physical Therapy, LLP

  • Physical Therapist
  • Boston, MA
  • NPI 1083839450
  NPD

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1720455363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 ORCHARD ST APT 4",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021443036",
            "telephone_number": "609-610-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 COLLEGE AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555593",
            "telephone_number": "617-627-5102",
            "fax_number": "617-627-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENGLER",
        "first_name": "ELISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPIRATORY, DEVLEOPMENTAL, REHAB AND RESTORATIVE SERVICE PROVIDERS",
            "identifier": "22",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "22",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Maher Feck
• Camryn Fedeli
• Oleksandr Fedorenko, DMD
• Paul J Feiss, M.D.
• George M. Feltin, MD
• Robert Fera, LMHC
• Amir Fereidouni, D.M.D., C.A.G.S.
• Donna Ferraro
• Ana Ferreira
• Gale S. Fiarman, MD

• Athletic Trainer in Medford, MA
• Providers in Medford, MA by specialty
• Athletic Trainer in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.