Heidi Beal Brague, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PA4849 Issued in ME

Practice address

1110 Main St.
Harrington, ME 04643

Phone

(207) 483-4022

Fax

(207) 483-9722

NPI assigned

Sep 27, 2017

Sex

Female

Sole proprietor

No

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.

• Coastal Physical Therapy Services, LLC

  • Physical Therapy Clinic/Center
  • Harrington, ME
  • NPI 1659687267
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 27, 2017.

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1104335751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "HARRINGTON",
            "state": "ME",
            "postal_code": "046430220",
            "telephone_number": "207-483-4022",
            "fax_number": "207-483-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 MAIN ST.",
            "city": "HARRINGTON",
            "state": "ME",
            "postal_code": "04643",
            "telephone_number": "207-483-4022",
            "fax_number": "207-483-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGUE",
        "first_name": "HEIDI",
        "middle_name": "BEAL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ME",
            "license": "PA4849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Beal Anderson, DPT
• Atlantic Shores
• Karen D. Barbee, LCSW, LADC, CCS
• Arthur F. Blake, M.D.
• Bold Coast Residential Care LLC
• Heather Bromaghin, PT
• Marie-France Browning, PT, CLT
• Mary M Bunker, DO
• Changing Tides Residental Care Facility
• Coastal Physical Therapy Services, LLC

• All providers in Harrington, ME
• Physical Medicine & Rehabilitation Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.