The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1588740914 |
NPI Entity Type | Individual |
Provider Name | PT, MSED Jacqueline D Mast |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 980 Forest Ave, Suite 100, Portland, ME, US |
Provider Mailing Address | 94 Rackleff St, Portland, ME, US, 041033054 |
Is Sole Proprietor? | No |
Taxonomy Code | |
Taxonomy Name | Pediatric Physical Therapist |
Classification | |
Group |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
License No. | PT677ME |
License State | ME |
Description | A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
017179 | ME | ANTHEM BCBSME ID | 01 |
5947274 | ME | AETNA PIN | 01 |
336900099 | ME | MEDICAID | 05 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
RDH IPDH Brittany Rita Hubert Individual |
6 E Chestnut St |
||
Metanoia Compassionate Care Llc Organization |
10 Columbia St Unit 2 |
||
Mainegeneral Medical Center Organization |
121 Medical Center Dr |
||
LMT, MLD-C Merissa Mertaugh Individual |
690 Stroudwater St |
||
LCPC Emma Georgene Swift Individual |
235 Center St |
||
FNP-C Catherine Rasco-robinson Individual |
506 Main St |
||
LCPC-C Patricia Marie Mclain Individual |
Student in an Organized Health Care Education/Training Program |
1012 Union St |
|
RDH Rebecca Lynn Hanscom Individual |
15 Oak St |
||
Autumn Marie Walsh Individual |
2 Lehner Rd |
||
COTA/L Madeline Conrad Smith Individual |
170 Route 1 Ste 100 |
||
DR. M.D. Rene Adonis Seegobin Individual |
133 Corporate Dr |
||
Patrick Fahey Individual |
2 Southside Rd |
||
Kathryn Goffin Individual |
123 Andover Rd |
||
DO Rachel Coffey Individual |
22 Bramhall St |
||
DO Rebecca Patterson Individual |
331 Veranda St |
||
Jason Mudge Individual |
22 Bramhall St |
||
Hospice Of Maine, Llc Organization |
824 Stillwater Ave Ste B |
||
Great Bay Services Organization |
61 Washington St Ste 4 |
||
Affinity Care Of Maine Llc Organization |
600 Southborough Dr Ste 103 |
||
Antonio Home Care Llc Organization |
70 Webster St |
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