Individual provider Active NPI

Nicole C McManus, PT

  • Physical Therapist
  • Somersworth, NH
National Provider Identifier
1750486064
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3273 Issued in NH
Practice address
475 High St
Unit E
Somersworth, NH 03878-1024
Phone
(603) 617-3846
Fax
(603) 617-3848
NPI assigned
Sep 13, 2006
Last updated
Jun 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 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 17593 MA
Physical Therapist 225100000X 3273 NH Primary

Addresses

Primary practice location

475 High St
Unit E
Somersworth, NH 03878-1024

Mailing address

37 Route 236
Suite 210
Kittery, ME 03904-6000
Phone (207) 439-2675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061018000540 MA Practitioner - Physical Therapist in Private Practice 6608872460 Reassigns benefits to 1 organization
I20071023000648 NH Practitioner - Physical Therapist in Private Practice 6608872460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proex Physical Therapy LLCGroup PAC ID 0345212395, 166 clinicians

Practice addresses (Care Compare)

3 Ferry St
Suite F
Haverhill, MA 01835-7441
Phone (978) 469-9412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17593MAMDPhysical Therapist
3273NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proex Physical Therapy, LLC CurrentSince Dec 14, 2009 Accepting new patients
Proex Physical Therapy, LLC Physical Therapist CurrentSince Dec 14, 2009 Accepting new patients
Stratham Physical Therapy Physical Therapist Past Accepting new patients
Competitive Edge Physical Therapy & Sports Training, LLC Physical Therapist Past Accepting new patients

Locations

11 Water St
Ste 3A
Arlington, MA 02476
Phone (781) 777-1416

900 Cummings Ctr
Ste 130S
Beverly, MA 01915
Phone (978) 420-4878

10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999

155 Federal St
Ste 180
Boston, MA 02110
Phone (617) 542-6999

607 Boylston St
Fl 4
Boston, MA 02116
Phone (857) 240-0909

3 Ferry St
Ste F
Haverhill, MA 01835
Phone (978) 469-9412

3 Rundlett Way
Middleton, MA 01949
Phone (978) 624-7149

84 Highland Ave
Ste 201
Salem, MA 01970
Phone (978) 741-0880

1150 Hall of Fame Ave
Ste 3
Springfield, MA 01105
Phone (413) 241-8900

1 Arrow Dr
Ste 2
Woburn, MA 01801
Phone (781) 935-2655

300 Tradecenter
Ste 1650
Woburn, MA 01801
Phone (781) 925-7643

2 Market Pl
Ste 100
Hollis, NH 03049
Phone (603) 600-6175

41 Innovative Way
Ste Pt
Nashua, NH 03062
Phone (978) 649-2592

210 Commerce Way
Ste 120
Portsmouth, NH 03801
Phone (603) 427-8066

475 High St
Unit E
Somersworth, NH 03878
Phone (603) 617-3846

64 Portsmouth Ave
Ste 5
Stratham, NH 03885
Phone (603) 772-8222

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 4

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1750486064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 ROUTE 236",
            "address_2": "SUITE 210",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039046000",
            "telephone_number": "207-439-2675",
            "fax_number": "207-439-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 HIGH ST",
            "address_2": "UNIT E",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781024",
            "telephone_number": "603-617-3846",
            "fax_number": "603-617-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "NICOLE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17593",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 17, 2010; 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.