Alexis Jenna Brunelle, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4554 Issued in NH

Practice address

435 S Main St
Manchester, NH 03102-4841

Phone

(603) 666-5982

NPI assigned

Sep 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Alexis J Lancaster Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• New England Pediatric Services LLC

  • Speech-Language Pathologist
  • Bedford, NH
  • NPI 1033412291
  NPD
• Easter Seals New Hampshire, Inc

  • Developmental Disabilities Clinic/Center
  • Manchester, NH
  • NPI 1730251430

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1801447909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 HACKETT HILL RD",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031062516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S MAIN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024841",
            "telephone_number": "603-666-5982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Harvey Rd",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "NH",
            "postal_code": "031106818",
            "country_code": "US",
            "telephone_number": "603-296-5241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNELLE",
        "first_name": "ALEXIS",
        "middle_name": "JENNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "151160",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "LANCASTER",
            "middle_name": "J",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anamarija Brozovic
• Bruce M. Topol, MD,, PA
• Demeria M Bruce
• Robin Bruck, D.C.
• Marilyn Anne Bruderer, APRN
• Mary Brunette, MD
• Evelyn Marie Bryan, DMD
• Hannibal Bryan
• John A Bryan, MD
• Roland R Bryan, DMD

• Physical Therapist in Manchester, NH
• Providers in Manchester, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.