Active NPIIndividual provider

Mrs. Jennifer A Gooley, PTA

Physical Therapy Assistant in Holton, Maine

NPI Number1386847804
Practice location
94 Militay St., Madigan Estates, Holton, ME 04730
Fax
—
Last updated
July 8, 2007

Jennifer Ann Gooley is a Physical Therapy Assistant based in Holton, ME. Jennifer Ann Gooley practices in Holton, ME and has the professional credentials of PTA. The NPI Number for Jennifer Ann Gooley is 1386847804 and holds a License No. PA2712 (ME). The current practice location address for Jennifer Ann Gooley is 94 Militay St., Madigan Estates, Holton, ME 04730 and can be reached out via phone at 207-227-8505.

Provider Profile Details

NPI Number
1386847804
Provider Name
Jennifer Ann Gooley
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
94 Militay St., Madigan Estates, Holton, ME 04730
Phone Number
207-227-8505
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
June 11, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
94 Militay St.
Madigan Estates
Holton, ME 04730
City
Holton
State
Maine
Zip
04730
Phone Number
207-227-8505
Holton, ME 04730Get directions →

Provider Business Mailing Address Details

Address
Po Box 16
Blaine, ME 04734-0016
City
Blaine
State
ME
Zip
04734-0016
Phone Number
207-227-8505

License Information

License Number
PA2712
License State
ME
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 Mrs. Jennifer A Gooley, PTA?

The NPI number of Mrs. Jennifer A Gooley, PTA is 1386847804. It was assigned on June 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jennifer A Gooley, PTA?

Mrs. Jennifer A Gooley, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in ME under license number PA2712.

Where does Mrs. Jennifer A Gooley, PTA practice?

The practice location is 94 Militay St., Madigan Estates, Holton, ME 04730. The office can be reached at 207-227-8505 (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 1386847804 directly on the NPPES registry website.

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