Individual provider Active NPI

Stacey M Nutile, DPT

  • Physical Therapist
  • Hampton, NH
National Provider Identifier
1811918857
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3077 Issued in NH
Practice address
3 Elaine St
Suite 7
Hampton, NH 03842-2748
Phone
(781) 443-2616
Fax
(978) 655-1160
NPI assigned
Jul 23, 2006
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3077 NH Primary

Addresses

Primary practice location

3 Elaine St
Suite 7
Hampton, NH 03842-2748

Mailing address

3 Elaine St
Hampton, NH 03842-2748
Phone (781) 443-2616

Other identifiers 5

IdentifierTypeStateIssuer
30393853MedicaidNH
386489OtherNHMVP
6107601OtherNHCIGNA
432037999OtherMEMAINECARE
08Y008937NH01OtherNHANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other Fox Rehab MA LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080220000110 MA Practitioner - Physical Therapist in Private Practice 5991724155 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3077NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab Ma LLC Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
Hub Physical Therapy LLC Physical Therapist CurrentSince Jan 25, 2024 Accepting new patients
Stratham Physical Therapy Physical Therapist Past Accepting new patients
Life Force Physical Therapy & Healing LLC Physical Therapist Past Accepting new patients
Proex Physical Therapy, LLC Past Accepting new patients

Locations

200 Great Rd
Ste 208
Bedford, MA 01730
Phone (781) 443-2616

303 Wyman St
Ste 300
Waltham, MA 02451
Phone (774) 354-8183

Organizations & group practices 5

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1811918857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ELAINE ST",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038422748",
            "telephone_number": "781-443-2616",
            "fax_number": "978-655-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ELAINE ST",
            "address_2": "SUITE 7",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038422748",
            "telephone_number": "781-443-2616",
            "fax_number": "978-655-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTILE",
        "first_name": "STACEY",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30393853",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "386489",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6107601",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINECARE",
            "identifier": "432037999",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "08Y008937NH01",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehab MA LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "391 Common St",
            "city": "Dedham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020264055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hampton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.