Individual provider Active NPI

Felicia Brodeur, DPT

  • Orthopedic Physical Therapist
  • Farmington, NH
National Provider Identifier
1841678760
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3971 Issued in NH
Practice address
395 NH Route 11
Farmington, NH 03835-3844
Phone
(603) 839-1034
Fax
(603) 839-1039
NPI assigned
May 12, 2015
Last updated
May 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 3971 NH Primary

Addresses

Primary practice location

395 NH Route 11
Farmington, NH 03835-3844

Mailing address

395 NH Route 11
Farmington, NH 03835-3844
Phone (603) 839-1034

Other identifiers 1

IdentifierTypeStateIssuer
3971OtherNHSTATE OF NH OFFICE OF LICENSED ALLIED HEALTH PROFESSIONALS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616002149 NH Practitioner - Physical Therapist in Private Practice 3476864596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

395 NH Route 11
Farmington, NH 03835-3844
Phone (603) 839-1034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3971NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmington Physical Therapy LLC CurrentSince Dec 8, 2024 Accepting new patients
Coppola Physical Therapy Farmington LLC Orthopedic CurrentSince May 14, 2015 Accepting new patients

Locations

395 NH Route 11
Farmington, NH 03835
Phone (603) 839-1034

Organizations & group practices 2

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1841678760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 NH ROUTE 11",
            "city": "FARMINGTON",
            "state": "NH",
            "postal_code": "038353844",
            "telephone_number": "603-839-1034",
            "fax_number": "603-839-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 NH ROUTE 11",
            "city": "FARMINGTON",
            "state": "NH",
            "postal_code": "038353844",
            "telephone_number": "603-839-1034",
            "fax_number": "603-839-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODEUR",
        "first_name": "FELICIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NH",
            "license": "3971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NH OFFICE OF LICENSED ALLIED HEALTH PROFESSIONALS",
            "identifier": "3971",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.