Individual provider Active NPI

Anne J Knowles, P.T.

  • Physical Therapist
  • Hermon, ME
National Provider Identifier
1043299183
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT366 Issued in ME
Practice address
2263 Route 2
Hermon, ME 04401-0605
Phone
(207) 848-9009
Fax
(207) 404-2562
NPI assigned
Jan 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT366 ME Primary

Addresses

Primary practice location

2263 Route 2
Hermon, ME 04401-0605

Mailing address

2263 Route 2
Hermon, ME 04401-0605
Phone (207) 848-9009

Other identifiers 3

IdentifierTypeStateIssuer
258510000MedicaidME
P00293747OtherMERAIL ROAD MEDICARE
079057OtherMEBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706000705 ME Practitioner - Physical Therapist in Private Practice 4486631637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covey Physical TherapyGroup PAC ID 6709045826, 9 clinicians

Practice addresses (Care Compare)

2263 Route 2
Hermon, ME 04401-0605
Phone (207) 848-9009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT366MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Covey Physical Therapy Physical Therapist CurrentSince Mar 7, 2025 Accepting new patients
Peter W. Just, MD PA Past Accepting new patients
Tardif Community Therapy & Wellness PA Physical Therapist Past Accepting new patients

Locations

2263 Route 2
Hermon, ME 04401
Phone (207) 848-9009

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1043299183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 ROUTE 2",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "044010605",
            "telephone_number": "207-848-9009",
            "fax_number": "207-404-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2263 ROUTE 2",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "044010605",
            "telephone_number": "207-848-9009",
            "fax_number": "207-404-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "ANNE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258510000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00293747",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "079057",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermon, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.