JACQUELINE BEVERLY (NPI# 1588130504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588130504 |
Entity Type | Individual |
Full Name | JACQUELINE BEVERLY |
Credential | PT |
Practice Address |
1 Stiles Rd Ste 203 Salem NH 03079-4804 |
Practice Telephone | 8553907774 |
Practice Fax Number | 8557342274 |
Mailing Telephone | 8553907774 |
Mailing Fax Number | 8557342274 |
Enumeration Date | 2018-10-17 |
Last Update Date | 2018-10-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1 STILES RD STE 203 |
City | SALEM |
State | NH |
Zip Code | 03079-4804 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467659870 | Michelle Diaz-collins | Physical Therapist | 1 Stiles Rd Ste 203, Salem, NH 03079-4804 | 2007-06-29 |
1508484742 | Toni Ericson | Physical Therapist | 1 Stiles Rd Ste 203, Salem, NH 03079-4804 | 2020-07-13 |
1881245363 | Kennedy Day | Occupational Therapist | 1 Stiles Rd Ste 203, Salem, NH 03079-4804 | 2019-09-25 |
1306497409 | Stephanie Veit | Occupational Therapist | 1 Stiles Rd Ste 203, Salem, NH 03079-4804 | 2019-09-20 |
1467003582 | Eileen Dorrian Lefsky | Physical Therapist | 1 Stiles Rd Ste 203, Salem, NH 03079-4804 | 2019-09-20 |
1780235879 | Hannah Hoffman | Occupational Therapist | 1 Stiles Rd Ste 203, Salem, NH 03079-4804 | 2019-09-20 |
1174099154 | Lynn Wong | Physical Therapist | 1 Stiles Rd Ste 203, Salem, NH 03079-4804 | 2018-10-17 |
1457832982 | Heather Fusco | Physical Therapy Assistant | 1 Stiles Rd Ste 203, Salem, NH 03079-4804 | 2018-08-23 |
1427545888 | Kristen Irene Britner | Physical Therapy Assistant | 1 Stiles Rd Ste 203, Salem, NH 03079-4804 | 2018-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689156945 | Susan Lou Harris | Social Worker | 56 Zion Hill Rd, Salem, NH 03079 | 2018-09-04 |
1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
1902327935 | Brenda Michelle Karibian | Nurse Practitioner | 9 Gardner Ave, Salem, NH 03079 | 2017-06-29 |
1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
1659754257 | Shuja U Saleem, M.d. | Obstetrics & Gynecology | 23 Stiles Rd., #217, Salem, NH 03079 | 2015-07-01 |
1457739724 | Marisa O'brien | Registered Nurse | 2 Keewayin Drive, Salem, NH 03079 | 2015-05-07 |
1215360805 | Jeffrey Malone | Counselor | 103 Cluff Crossing, P-3, Salem, NH 03079 | 2013-08-19 |
1184964546 | Larissa Grace Pickett | Specialist | 195 North Broadway, Salem Sports and Rehab, Salem, NH 03079 | 2013-02-21 |
Find all providers in zip 03079 |
Taxonomy Code | 2251G0304X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Geriatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164406161 | Jennifer Lynne Zimney | Physical Therapist | 1380 Liberty St Se, Salem, OR 97302-4246 | 2005-12-02 |
1174099154 | Lynn Wong | Physical Therapist | 1 Stiles Rd Ste 203, Salem, NH 03079-4804 | 2018-10-17 |
1750764882 | Angela Hansen | Physical Therapist | 7 Loring Hills Ave, Salem, MA 01970-4267 | 2015-07-07 |
1467640896 | Renee Marie Tatum | Physical Therapist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2007-10-10 |
1689622367 | Sandra Shelton Cothran | Physical Therapist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2006-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588085211 | Ann Laprade | Physical Therapist | 20 Alderwood Dr, Stratham, NH 03885-4215 | 2013-12-24 |
1922342542 | John Joseph Leary IIi | Physical Therapist | 2 Beaver Brook Cir, Amherst, NH 03031-2512 | 2012-11-20 |
1124362165 | Brian Hinton | Physical Therapist | 79 Forest Dr, Bedford, NH 03110-6215 | 2012-11-15 |
1295921088 | Bedford Geriatric Physical Therapy, LLC | Physical Therapist | 108 Riverway Place, Bedford, NH 03110 | 2007-09-14 |
1013478726 | Abigail Foti | Physical Therapist | 203 Lowell Rd, Hudson, NH 03051-4909 | 2019-03-26 |
1366835613 | Karen Pauline Hendrickson | Physical Therapist | 45 High St, Nashua, NH 03060-3312 | 2015-03-11 |
1255755666 | Saral Gupta | Physical Therapist | 29 Providence Ave, Berlin, NH 03570-3130 | 2014-02-06 |
1841538550 | Kristy Mayo Mackenzie | Physical Therapist | 60 Middle Rd, Dover, NH 03820-4146 | 2013-01-30 |
1568666881 | Annette Jw Denise | Physical Therapist | 442 Main St, Fremont, NH 03044-3434 | 2007-06-12 |
1144433095 | Kimberly Michelle Nadeau | Physical Therapist | 250 Pleasant St, Suite 1530, Concord, NH 03301-7539 | 2007-05-08 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.