Nicole Marie Gesner, M.S.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17372 Issued in MA

Practice address

1738 Gar Hwy
Swansea, MA 02777-3906

Phone

(508) 379-0090

Fax

(508) 379-6050

NPI assigned

Jul 11, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Shoreline Physical Therapy, LLC

  • Physical Therapist
  • East Lyme, CT
  • NPI 1841489168
  NPD (past)

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

{
    "created_epoch": "1278806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1831401405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HARVEST RD",
            "city": "REHOBOTH",
            "state": "MA",
            "postal_code": "027692260",
            "telephone_number": "774-565-0563",
            "fax_number": "774-565-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 GAR HWY",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027773906",
            "telephone_number": "508-379-0090",
            "fax_number": "508-379-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESNER",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "M.S.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-11",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT01808",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Fullerton
• Sue Furtado, LICSW
• Richard Garnett, DMD
• Chelsi Gemba
• Genesis Rehab Services
• Jeffrey F Gillett, P.T.
• Patricia Ann Golden, MSW
• Ashley Marie Gomes-Moore, D.M.D.
• Diane M Goodwin, M.ED
• Deanna Gouvia

• Physical Therapist in Swansea, MA
• Providers in Swansea, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.