Active NPIIndividual providerSole proprietor

Elise Fengler

Specialist/Technologist, Athletic Trainer in Medford, Massachusetts

NPI Number1720455363
Practice location
161 College Ave, Medford, MA 02155-5593
Fax
617-627-2185
Last updated
January 20, 2023

Elise Fengler is a Specialist/Technologist, Athletic Trainer based in Medford, MA. Elise Fengler practices in Medford, MA. The NPI Number for Elise Fengler is 1720455363. The current practice location address for Elise Fengler is 161 College Ave, Medford, MA 02155-5593 and can be reached out via phone at 617-627-5102 and via fax at 617-627-2185.

Provider Profile Details

NPI Number
1720455363
Provider Name
Elise Fengler
Provider Entity Type
Individual
Gender
Female
Address
161 College Ave, Medford, MA 02155-5593
Phone Number
617-627-5102
Fax Number
617-627-2185
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
August 31, 2015
Last Update Date
January 20, 2023
Certification Date
January 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
161 College Ave
Medford, MA 02155-5593
Zip
02155-5593
Phone Number
617-627-5102
Fax Number
617-627-2185
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
123 Orchard St Apt 4
Somerville, MA 02144-3036
City
Somerville
State
MA
Zip
02144-3036
Phone Number
609-610-1607

License Information

Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elise Fengler?

The NPI number of Elise Fengler is 1720455363. It was assigned on August 31, 2015 and is currently active in the NPPES registry.

What is the specialty of Elise Fengler?

Elise Fengler is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Elise Fengler practice?

The practice location is 161 College Ave, Medford, MA 02155-5593. The office can be reached at 617-627-5102 (phone) or 617-627-2185 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720455363 directly on the NPPES registry website.

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