Individual provider Active NPI

Gino Compagnone, PT

  • Physical Therapist
  • Stratham, NH
National Provider Identifier
1851597439
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3208 Issued in NH
Practice address
64 Portsmouth Ave
Suite 5
Stratham, NH 03885-2523
Phone
(603) 772-8222
Fax
(603) 772-6738
NPI assigned
Jun 21, 2007
Last updated
Feb 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3208 NH Primary
Physical Therapist 225100000X 17333 MA

Addresses

Primary practice location

64 Portsmouth Ave
Suite 5
Stratham, NH 03885-2523

Mailing address

210 Commerce Way
Suite 120
Portsmouth, NH 03801-8200
Phone (207) 439-2675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070807000735 NH Practitioner - Physical Therapist in Private Practice 6608967526 Reassigns benefits to 1 organization
I20150608000506 MA Practitioner - Physical Therapist in Private Practice 6608967526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proex Physical Therapy LLCGroup PAC ID 0345212395, 166 clinicians

Practice addresses (Care Compare)

900 Cummings Ctr
Beverly, MA 01915-6183
Phone (978) 524-7827

96 Calef Hwy 8
Epping, NH 03042-2224
Phone (603) 679-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3208NHMDPharmacist
17333MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proex Physical Therapy, LLC CurrentSince Dec 14, 2009 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Proex Physical Therapy, LLC Physical Therapist CurrentSince Dec 14, 2009 Accepting new patients
Competitive Edge Physical Therapy & Sports Training, LLC Physical Therapist Past Accepting new patients

Locations (25 of 26)

53 Old Kings Hwy N
Ste 103
Darien, CT 06820
Phone (203) 656-1922

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

110 Haverhill Rd
Ste 292
Amesbury, MA 01913
Phone (978) 834-6392

138 River Rd
Ste 101
Andover, MA 01810
Phone (978) 289-6108

11 Water St
Ste 3A
Arlington, MA 02476
Phone (781) 777-1416

900 Cummings Ctr
Ste 130S
Beverly, MA 01915
Phone (978) 420-4878

10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999

1300 Soldiers Field Rd
Boston, MA 02135
Phone (857) 240-0931

155 Federal St
Ste 180
Boston, MA 02110
Phone (617) 542-6999

607 Boylston St
Fl 4
Boston, MA 02116
Phone (857) 240-0909

3 Ferry St
Ste F
Haverhill, MA 01835
Phone (978) 469-9412

389 Main St
Ste C
Haverhill, MA 01830
Phone (978) 478-5050

39 Cinema Blvd
Leominster, MA 01453
Phone (978) 466-6677

3 Rundlett Way
Middleton, MA 01949
Phone (978) 624-7149

207 Daniel Shays Hwy
Orange, MA 01364
Phone (978) 633-4491

84 Highland Ave
Ste 201
Salem, MA 01970
Phone (978) 741-0880

1150 Hall of Fame Ave
Ste 3
Springfield, MA 01105
Phone (413) 241-8900

63 Pleasant St
Fl 2
Watertown, MA 02472
Phone (617) 213-1335

300 Tradecenter
Ste 1650
Woburn, MA 01801
Phone (781) 925-7643

96 Calef Hwy
Unit 8
Epping, NH 03042
Phone (603) 679-3700

2 Market Pl
Ste 100
Hollis, NH 03049
Phone (603) 600-6175

210 Commerce Way
Ste 120
Portsmouth, NH 03801
Phone (603) 427-8066

325 Lafayette Rd
Ste 1
Seabrook, NH 03874
Phone (603) 964-6555

475 High St
Unit E
Somersworth, NH 03878
Phone (603) 617-3846

64 Portsmouth Ave
Ste 5
Stratham, NH 03885
Phone (603) 772-8222

Organizations & group practices 4

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1851597439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 COMMERCE WAY",
            "address_2": "SUITE 120",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038018200",
            "telephone_number": "207-439-2675",
            "fax_number": "207-439-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 PORTSMOUTH AVE",
            "address_2": "SUITE 5",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852523",
            "telephone_number": "603-772-8222",
            "fax_number": "603-772-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPAGNONE",
        "first_name": "GINO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3208",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.