Emily Ann Estes, LPTA, LMT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PA2640 Issued in ME

Practice address

36 Ludwig Rd
Dresden, ME 04342-3411

Phone

(207) 737-2478

Fax

(207) 737-2793

NPI assigned

Jul 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wild Grace Wellness Center LLC

  • Orthopedic Physical Therapist
  • Dresden, ME
  • NPI 1073892188
  NPD (past) Authorized official

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1114214699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 LUDWIG RD",
            "city": "DRESDEN",
            "state": "ME",
            "postal_code": "043423411",
            "telephone_number": "207-737-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 LUDWIG RD",
            "city": "DRESDEN",
            "state": "ME",
            "postal_code": "043423411",
            "telephone_number": "207-737-2478",
            "fax_number": "207-737-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTES",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "LPTA, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "PA2640",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT2944",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt W Beiermeister, MSPT
• Dresden Elementary School
• Amy J Foskett, DPT
• Angela Marie Musto, LADC
• Summit Chiropractic
• Wild Grace Wellness Center LLC

• Physical Therapy Assistant in Dresden, ME
• Providers in Dresden, ME by specialty
• Physical Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.