- Practice location
- 1365 Broadway, Bangor, ME 04401-2401
- Phone
- 207-942-2233
- Fax
- —
- Last updated
- June 9, 2015
Nicholas Boissoneault is a Physical Therapist based in Bangor, ME. Nicholas Boissoneault practices in Bangor, ME and has the professional credentials of PT. The NPI Number for Nicholas Boissoneault is 1407143134 and holds a License No. PT26565 (FL). The current practice location address for Nicholas Boissoneault is 1365 Broadway, Bangor, ME 04401-2401 and can be reached out via phone at 207-942-2233.
Provider Profile Details
- NPI Number
- 1407143134
- Provider Name
- Nicholas Boissoneault
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1365 Broadway, Bangor, ME 04401-2401
- Phone Number
- 207-942-2233
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 1, 2011
- Last Update Date
- June 9, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1365 Broadway
Bangor, ME 04401-2401 - City
- Bangor
- State
- Maine
- Zip
- 04401-2401
- Phone Number
- 207-942-2233
Provider Business Mailing Address Details
- Address
- 138 Dartmouth St
Bangor, ME 04401-4126 - City
- Bangor
- State
- ME
- Zip
- 04401-4126
License Information
- License Number (1)
- PT26565
- License State (1)
- FL
- Taxonomy (1)
- Physical Therapist · 225100000X · Primary
- License Number (2)
- PT4197
- License State (2)
- ME
- Taxonomy (2)
- Physical Therapist · 225100000X
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 Nicholas Boissoneault, PT?
The NPI number of Nicholas Boissoneault, PT is 1407143134. It was assigned on July 1, 2011 and is currently active in the NPPES registry.
What is the specialty of Nicholas Boissoneault, PT?
Nicholas Boissoneault, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in FL under license number PT26565.
Where does Nicholas Boissoneault, PT practice?
The practice location is 1365 Broadway, Bangor, ME 04401-2401. The office can be reached at 207-942-2233 (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 1407143134 directly on the NPPES registry website.