North Star Pediatric Therapy LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

NORTH STAR PEDIATRIC THERAPY LLC

Doing business as

North Star Peds

Practice address

552 Main St
Caribou, ME 04736-4404

Phone

(207) 498-9507

NPI assigned

Jan 27, 2025

Organization subpart

No

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

Authorized official

Name

Rainald Gervais III

Title

Clinic Administrator

Phone

(207) 498-9507

Specialties & licenses 2

Addresses

Other names 1

• North Star Peds Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bethany Gervais, MSOT

  • Occupational Therapist
  • Presque Isle, ME
  • NPI 1871212076
  NPD
• Katelyn Marie St Peter, PT, DPT

  • Physical Therapist
  • Caribou, ME
  • NPI 1205417680
  NPD

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1063225837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 VAN BUREN RD",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047363568",
            "telephone_number": "207-498-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 MAIN ST",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047364404",
            "telephone_number": "207-498-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "GERVAIS",
        "authorized_official_first_name": "RAINALD",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "207-498-9507",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Star Peds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelly A Murphy, PMH-NP, PMHCNS, BC
• New Day Counseling Services, LLC
• New Day Counseling Services, LLC
• Markyia Nichols, MD
• Nancy C. Nichols, LCPC
• Northern Maine Dental, LLC
• Northern Maine General
• Alejandro Ochoa
• Kathleen Ogle, M.D.
• Cheryl-Sue Olmstead, NP

• Rehabilitation Clinic/Center in Caribou, ME
• Providers in Caribou, ME by specialty
• Rehabilitation Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.