Active NPI
Beth E Tubbs, PT
- Physical Therapist
- Bangor, ME
National Provider Identifier
1083903876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1729 ME
- Practice address
- 175 Union St
Suite a
Bangor, ME 04401-6100 - Phone
- (207) 992-4000
- Fax
- (207) 669-8302
- NPI assigned
- Apr 1, 2011
- Last updated
- Jul 25, 2016
- Sex
- Female
- 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 | 1729 ME | ME | Primary |
Addresses
Primary practice location
175 Union St
Suite a
Bangor, ME 04401-6100
Mailing address
175 Union St
Suite a
Bangor, ME 04401-6100
Phone (207) 992-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1729 ME | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1083903876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 UNION ST",
"address_2": "SUITE A",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016100",
"telephone_number": "207-992-4000",
"fax_number": "207-669-8302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 UNION ST",
"address_2": "SUITE A",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016100",
"telephone_number": "207-992-4000",
"fax_number": "207-669-8302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUBBS",
"first_name": "BETH",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-01",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "1729 ME",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.