Diane Beaudoin, LPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT761 Issued in ME

Practice address

12 Heselton St
Skowhegan, ME 04976

Phone

(207) 474-6622

Fax

(207) 474-6983

NPI assigned

Mar 14, 2006

Last updated

Nov 12, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352678400000",
    "number": "1003884214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HESELTON ST",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "04976",
            "telephone_number": "207-474-6622",
            "fax_number": "207-474-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HESELTON ST",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "04976",
            "telephone_number": "207-474-6622",
            "fax_number": "207-474-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDOIN",
        "first_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2012-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Dana Barker Jr.
• Cheryl Barrett, LCSW
• Julianne Barrett, DO
• Amanda D Barrows, LCSW
• Macie Lynn Batchelder, LMSW-CC
• Erika Beaulieu, LCSW, LADC, CCS
• Katlynn Beaumont, CADC
• Alicia Bedard, LSW
• Betsy Belanger, OTL
• Judy L Bell

• Physical Therapist in Skowhegan, ME
• Providers in Skowhegan, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.