Active NPIIndividual provider

Derek Brotherton, PTA

Physical Therapy Assistant in Camden, Maine

NPI Number1316520547
Practice location
105 Mechanic St, Camden, ME 04843-1811
Fax
—
Last updated
May 5, 2021

Derek Brotherton is a Physical Therapy Assistant based in Camden, ME. Derek Brotherton practices in Camden, ME and has the professional credentials of PTA. The NPI Number for Derek Brotherton is 1316520547. The current practice location address for Derek Brotherton is 105 Mechanic St, Camden, ME 04843-1811 and can be reached out via phone at 207-236-4197.

Provider Profile Details

NPI Number
1316520547
Provider Name
Derek Brotherton
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
105 Mechanic St, Camden, ME 04843-1811
Phone Number
207-236-4197
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
May 5, 2021
Last Update Date
May 5, 2021
Certification Date
May 5, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
105 Mechanic St
Camden, ME 04843-1811
City
Camden
State
Maine
Zip
04843-1811
Phone Number
207-236-4197
Camden, ME 04843Get directions →

Provider Business Mailing Address Details

Address
8 Marvin Ln
Jefferson, ME 04348-3555
City
Jefferson
State
ME
Zip
04348-3555
Phone Number
207-215-4521

License Information

Taxonomy
Physical Therapy Assistant · 225200000X · 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 Derek Brotherton, PTA?

The NPI number of Derek Brotherton, PTA is 1316520547. It was assigned on May 5, 2021 and is currently active in the NPPES registry.

What is the specialty of Derek Brotherton, PTA?

Derek Brotherton, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X).

Where does Derek Brotherton, PTA practice?

The practice location is 105 Mechanic St, Camden, ME 04843-1811. The office can be reached at 207-236-4197 (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 1316520547 directly on the NPPES registry website.

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