Michelle Anne Fitzgerald, PT

Key facts

NPI

1790409258

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

1811 (NH)

Practice address

7 Camelot Rd
Windham, NH 03087-1633

Phone

(603) 553-1964

NPI assigned

Sep 28, 2022

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

Other names

• Michelle Anne Durette Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 28, 2022.

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1790409258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030870416",
            "telephone_number": "603-553-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CAMELOT RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871633",
            "telephone_number": "603-553-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "MICHELLE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "1811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DURETTE",
            "middle_name": "ANNE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Christopher James Filler, D.M.D.
• Kenna Finlayson, PA-C
• George Champness Fisher, BA
• Carlene Fitzgerald, LPN
• Keith Flenniken, PHARMACIST
• Michele Fox, PT, DPT, MS
• Richard A Fox
• Noreen Biron Gallo, MS RDN LD
• Rachel Mary Garofoli, SLP

All providers in Windham, NH · Physical Therapist in New Hampshire