Elise Fengler — NPI 1720455363

Elise Fengler’s National Provider Identifier is 1720455363. NPPES classifies this as a Type 1 individual record and reports a practice location in Medford, Massachusetts. The primary taxonomy is Athletic Trainer.

Key facts

NPI
1720455363
Entity type
Type 1 individual
NPPES status
Active in the August 10, 2026 snapshot
Practice location
161 COLLEGE AVE
Medford, Massachusetts 02155
Practice telephone
(617) 627-5102
Primary taxonomy
Athletic Trainer (2255A2300X)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers › Specialist/Technologist › Athletic Trainer
Enumeration date
August 31, 2015
NPPES last update
January 20, 2023
Source
CMS NPPES, NPPES Data Dissemination August 2026 V2

Questions answered by the NPPES record

What is the NPI for Elise Fengler?

The NPI listed for Elise Fengler in the NPPES snapshot is 1720455363. The number passes the NPI check-digit test and is recorded as active in that snapshot.

Is NPI 1720455363 an individual or organization record?

NPPES records NPI 1720455363 as an Entity Type 1 record, which CMS assigns to an individual health care provider.

Where is the reported practice location?

The primary practice location reported to NPPES is 161 COLLEGE AVE, Medford, Massachusetts 02155.

What taxonomy codes are listed for this NPI?

One taxonomy code is listed: Athletic Trainer (2255A2300X), the primary taxonomy. Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.

When was the NPPES record last updated?

NPPES reports a last update date of January 20, 2023 and an enumeration date of August 31, 2015, as published in NPPES Data Dissemination August 2026 V2.

Source and data date

All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.

CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.

Directory pages

This profile is listed on the Medford, Massachusetts NPI directory and the Massachusetts NPI directory.

Other published profiles in Medford, MA

Up to ten other profiles this site publishes for Medford, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 48 published profiles.

Independent service disclaimer

This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.