Active NPI
Cody St.Germain, DPT
- Physical Therapist
- Dixfield, ME
National Provider Identifier
1053894535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5220
- Practice address
- 23 Newton Ave
Dixfield, ME 04224-9518 - Phone
- (207) 418-7075
- NPI assigned
- Sep 11, 2018
- Last updated
- Sep 11, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5220 | ME | Primary |
Addresses
Primary practice location
23 Newton Ave
Dixfield, ME 04224-9518
Mailing address
23 Newton Ave
Dixfield, ME 04224-9518
Phone (207) 418-7075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
94 Weld St
Dixfield, ME 04224-9207
Phone (207) 562-8048
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5220 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Smartcare Inc | Physical Therapist | Current | Accepting new patients |
| Lauren Hebert, PT,SC | Physical Therapist | Past | Accepting new patients |
Locations
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Dixfield, ME
- NPI 1861444226
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
dba CMMC Specialty Pharmacy
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
- Physical Therapist
- Dixfield, ME
- NPI 1760664452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1053894535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 NEWTON AVE",
"city": "DIXFIELD",
"state": "ME",
"postal_code": "042249518",
"telephone_number": "207-418-7075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 NEWTON AVE",
"city": "DIXFIELD",
"state": "ME",
"postal_code": "042249518",
"telephone_number": "207-418-7075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST.GERMAIN",
"first_name": "CODY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-11",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT5220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dixfield, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.