Active NPI
Medical Rehabilitation Associates
- Specialist
- Lewiston, ME
National Provider Identifier
1114965670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MEDICAL REHABILITATION ASSOCIATES
- Practice address
- 77 Bates St
Suite 102
Lewiston, ME 04240-7637 - Phone
- (207) 783-6108
- Fax
- (207) 514-1425
- NPI assigned
- Jun 4, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Jody Leigh Simpson
- Title
- Accounts Receivable Manager
- Phone
- (207) 783-6108
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
77 Bates St
Suite 102
Lewiston, ME 04240-7637
Mailing address
77 Bates St
Suite 102
Lewiston, ME 04240-7637
Phone (207) 783-6108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117810100 | Medicaid | ME |
National Provider Directory
National Provider DirectoryLocations
77 Bates St
#C20442
Lewiston, ME 04240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1114965670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 BATES ST",
"address_2": "SUITE 102",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407637",
"telephone_number": "207-783-6108",
"fax_number": "207-783-2439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 BATES ST",
"address_2": "SUITE 102",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407637",
"telephone_number": "207-783-6108",
"fax_number": "207-514-1425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL REHABILITATION ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SIMPSON",
"authorized_official_first_name": "JODY",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
"authorized_official_telephone_number": "207-783-6108",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117810100",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.