Active NPI
Stacey M Nutile, DPT
- Physical Therapist
- Hampton, NH
National Provider Identifier
1811918857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3077
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30393853 | Medicaid | NH | |
| 386489 | Other | NH | MVP |
| 6107601 | Other | NH | CIGNA |
| 432037999 | Other | ME | MAINECARE |
| 08Y008937NH01 | Other | NH | ANTHEM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3077 | NH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab Ma LLC | Physical Therapist | Current | Accepting new patients |
| Hub Physical Therapy LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Waltham, MA
- NPI 1497174437
-
- Physical Therapist
- Bedford, MA
- NPI 1760052393
-
- Physical Therapist
- Hampton, NH
- NPI 1497088181
-
- Physical Therapist
- Stratham, NH
- NPI 1114950318
-
- Occupational Therapist
- Boston, MA
- NPI 1508757956
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.