Lisa Boutwell, PTA
Physical Therapy Assistant in Pittsfield, Maine
1073374054- Practice location
- 167 Sebasticook St, Pittsfield, ME 04967-4107
- Phone
- 207-416-5236
- Fax
- —
- Last updated
- January 17, 2024
Lisa Boutwell is a Physical Therapy Assistant based in Pittsfield, ME. Lisa Boutwell practices in Pittsfield, ME and has the professional credentials of PTA. The NPI Number for Lisa Boutwell is 1073374054 and holds a License No. PA1570 (ME). The current practice location address for Lisa Boutwell is 167 Sebasticook St, Pittsfield, ME 04967-4107 and can be reached out via phone at 207-416-5236.
Provider Profile Details
- NPI Number
- 1073374054
- Provider Name
- Lisa Boutwell
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 167 Sebasticook St, Pittsfield, ME 04967-4107
- Phone Number
- 207-416-5236
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 17, 2024
- Last Update Date
- January 17, 2024
- Certification Date
- January 17, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 167 Sebasticook St
Pittsfield, ME 04967-4107 - City
- Pittsfield
- State
- Maine
- Zip
- 04967-4107
- Phone Number
- 207-416-5236
Provider Business Mailing Address Details
- Address
- 138 Morrill St
Pittsfield, ME 04967-4708 - City
- Pittsfield
- State
- ME
- Zip
- 04967-4708
- Phone Number
- 207-487-1114
License Information
- License Number
- PA1570
- License State
- ME
- Taxonomy
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Lisa Boutwell, PTA?
The NPI number of Lisa Boutwell, PTA is 1073374054. It was assigned on January 17, 2024 and is currently active in the NPPES registry.
What is the specialty of Lisa Boutwell, PTA?
Lisa Boutwell, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in ME under license number PA1570.
Where does Lisa Boutwell, PTA practice?
The practice location is 167 Sebasticook St, Pittsfield, ME 04967-4107. The office can be reached at 207-416-5236 (phone).
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 1073374054 directly on the NPPES registry website.