Active NPIIndividual providerSole proprietor

Karen Fagan, PTA

Physical Therapy Assistant in So Portland, Maine

NPI Number1659465318
Practice location
260 Western Ave, So Portland, ME 04106
Fax
—
Last updated
July 8, 2007

Karen Fagan is a Physical Therapy Assistant based in So Portland, ME. Karen Fagan practices in So Portland, ME and has the professional credentials of PTA. The NPI Number for Karen Fagan is 1659465318 and holds a License No. pa1914 (ME). The current practice location address for Karen Fagan is 260 Western Ave, So Portland, ME 04106 and can be reached out via phone at 207-879-5710.

Provider Profile Details

NPI Number
1659465318
Provider Name
Karen Fagan
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
260 Western Ave, So Portland, ME 04106
Phone Number
207-879-5710
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
260 Western Ave
So Portland, ME 04106
State
Maine
Zip
04106
Phone Number
207-879-5710
So Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
260 Western Ave
So Portland, ME 04106
City
So Portland
State
ME
Zip
04106
Phone Number
207-879-5710

License Information

License Number
pa1914
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 Karen Fagan, PTA?

The NPI number of Karen Fagan, PTA is 1659465318. It was assigned on October 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Karen Fagan, PTA?

Karen Fagan, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in ME under license number pa1914.

Where does Karen Fagan, PTA practice?

The practice location is 260 Western Ave, So Portland, ME 04106. The office can be reached at 207-879-5710 (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 1659465318 directly on the NPPES registry website.

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