MRS. ROXANN E. NICKERSON (NPI# 1023299922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023299922 |
| Entity Type | Individual |
| Full Name | MRS. ROXANN E. NICKERSON |
| Credential | P.T. |
| Practice Address |
6 Hampton Ln Andover MA 01810-4302 |
| Practice Telephone | 9784754450 |
| Mailing Telephone | 9784754450 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1112 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6 HAMPTON LN |
| City | ANDOVER |
| State | MA |
| Zip Code | 01810-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123513 | Jill Katherine Priestley | Registered Nurse | 251 South Main Street, Andover, MA 01810 | 2020-01-22 |
| 1023672086 | Diane Marie Gallant | Occupational Therapy Assistant | 5606 80 Andover Street, Andover, MA 01810 | 2019-04-25 |
| 1932677473 | Jessica Howie | Physician Assistant | 28 Andover St Fl 1, Andover, MA 01810 | 2018-11-02 |
| 1972087138 | Mia Cloonan | Social Worker | 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 | 2018-09-23 |
| 1063995462 | Janet Suleski | Social Worker | 10 Stevens St, Andover, MA 01810 | 2018-09-11 |
| 1942794706 | Alison Catherine Lynch | Optometrist | 7 Parthenon Cir, Andover, MA 01810 | 2018-06-15 |
| 1740773647 | Wandajune Bishop-towle | Psychologist | 75 Wild Rose Dr., Andover, MA 01810 | 2018-06-14 |
| 1235689860 | Jo-ann Elizabeth Newcomb | Registered Nurse | 12 Hemlock Rd, Andover, MA 01810 | 2016-10-06 |
| 1922476712 | Marianela Rivera | Physical Therapist | 32 Osgood St., Andover, MA 01810 | 2015-09-10 |
| 1447535935 | Kathleen L Mccracken | Occupational Therapy Assistant | 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 | 2011-10-15 |
| Find all providers in zip 01810 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407097074 | Catherine F. T. Garth | Physical Therapist | 88 Central St, Andover, MA 01810-3914 | 2009-03-11 |
| 1205434354 | Courtney Konop | Physical Therapist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2020-10-12 |
| 1881254506 | Emily Nicole Peck | Physical Therapist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2019-06-14 |
| 1326535196 | Sarah Joy Moen | Physical Therapist | 1891 Station Parkway Nw, Andover, MN 55304-4259 | 2018-04-17 |
| 1043355746 | Donna Bogdan Cordova | Physical Therapist | 450 Lowell St, Andover, MA 01810-5305 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1649709551 | Erin Fitzgerald | Physical Therapist | 1555 Main St Unit 102, Tewksbury, MA 01876-4765 | 2017-06-06 |
| 1013455906 | Eileen Margaret Kirk | Physical Therapist | 49 Walnut St Bldg 3, Wellesley Hills, MA 02481-2108 | 2017-02-10 |
| 1083077754 | Judith Abuza | Physical Therapist | 245 Chestnut St, Florence, MA 01062-1406 | 2016-03-31 |
| 1114386992 | Karen Smith | Physical Therapist | 38 North St Apt 2, Hingham, MA 02043-2234 | 2016-02-22 |
| 1740649151 | Emily Kaczmarczyk | Physical Therapist | 1731 Beacon St Apt 1113, Brookline, MA 02445-5328 | 2016-02-12 |
| 1396153052 | Andrea Roush | Physical Therapist | 126 Phoenix Avenue, Building #2, Thom Anne Sullivan Early Intervention Program, Lowell, MA 01852 | 2014-07-25 |
| 1194072926 | Kathleen Schaefer Harrington | Physical Therapist | 24 Forest St, Rowley, MA 01969-1626 | 2012-08-10 |
| 1376825711 | The Village-child & Family Development, Inc. | Physical Therapist | 25 Adams St, Suite 104, Braintree, MA 02184-1911 | 2011-09-12 |
| 1538476379 | Sandra Lynn Brown | Physical Therapist | 23 Fram Dr, Mansfield, MA 02048-1695 | 2010-08-31 |
| Find all providers with the same taxonomy | ||||
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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.