Melanie Ayotte
Individual provider Active NPI Physical Therapist · Bedford, NH
NPI 1780366104 · NPPES record last updated Aug 4, 2023
Key facts
- NPI
- 1780366104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2652 (NH)
- Practice address
- 15 Constitution Dr Ste 144
Bedford, NH 03110-6042 - Phone
- (877) 407-3422
- Fax
- (877) 407-4329
- NPI assigned
- Aug 4, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
7 Clyde Rd
Somerset, NJ 08873-5049
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230907003026 | MA | Practitioner - Physical Therapist in Private Practice | 7012371115 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab-NH, LLC | Physical Therapist | Current |
Accepting new patients |
| Fox Rehab Ma LLC | Physical Therapist | Current |
Accepting new patients |
Locations
303 Wyman St
Ste 300
Waltham, MA 02451
Phone (781) 330-0577
15 Constitution Dr
Ste 144
Bedford, NH 03110
7 Carnegie Plz
Cherry Hill, NJ 08003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2652 | NH | Yes |
Addresses
Primary practice location
15 Constitution Dr Ste 144
Bedford, NH 03110-6042
Mailing address
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422
Other providers in Bedford, NH
- Autism Bridges LLC
- John B. Avard
- Abigail Aveni
- Aware Recovery Care Inc
- Aware Recovery Care of New Hampshire, LLC
- Joseph K. Azar
- Dylan Jesse Badin
- Karen Bagnardi
- Debra A Baker
- Marshall A. Baldassarre
All providers in Bedford, NH · Physical Therapist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.