Active NPIIndividual provider

Mrs. Elissa B Thibodeau, PT

Physical Therapist in Dixfield, Maine

NPI Number1366555807
Practice location
94 Weld Street, Dixfield, ME 04224-0220
Fax
207-562-7179
Last updated
July 8, 2007

Elissa B. Thibodeau is a Physical Therapist based in Dixfield, ME. Elissa B. Thibodeau practices in Dixfield, ME and has the professional credentials of PT. The NPI Number for Elissa B. Thibodeau is 1366555807 and holds a License No. 000129 (ME). The current practice location address for Elissa B. Thibodeau is 94 Weld Street, Dixfield, ME 04224-0220 and can be reached out via phone at 207-562-8048 and via fax at 207-562-7179.

Provider Profile Details

NPI Number
1366555807
Provider Name
Elissa B. Thibodeau
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
94 Weld Street, Dixfield, ME 04224-0220
Phone Number
207-562-8048
Fax Number
207-562-7179
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 17, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
94 Weld Street
Dixfield, ME 04224-0220
State
Maine
Zip
04224-0220
Phone Number
207-562-8048
Fax Number
207-562-7179
Dixfield, ME 04224Get directions →

Provider Business Mailing Address Details

Address
Po Box 220
Dixfield, ME 04224-0220
City
Dixfield
State
ME
Zip
04224-0220
Phone Number
207-562-8048
Fax Number
207-563-7179

License Information

License Number
000129
License State
ME
Taxonomy
Physical Therapist · 225100000X · 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 Mrs. Elissa B Thibodeau, PT?

The NPI number of Mrs. Elissa B Thibodeau, PT is 1366555807. It was assigned on August 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Elissa B Thibodeau, PT?

Mrs. Elissa B Thibodeau, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in ME under license number 000129.

Where does Mrs. Elissa B Thibodeau, PT practice?

The practice location is 94 Weld Street, Dixfield, ME 04224-0220. The office can be reached at 207-562-8048 (phone) or 207-562-7179 (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 1366555807 directly on the NPPES registry website.

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