Medical Rehabilitation Associates
Organization Active NPI Specialist · Lewiston, ME
NPI 1114965670 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1114965670
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- 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
- Organization subpart
- No
Authorized official
- Name
- Miss Jody Leigh Simpson
- Title
- Accounts Receivable Manager
- Phone
- (207) 783-6108
National Provider Directory
Locations
55 Middle St
#1
Augusta, ME 04330
Phone (207) 626-5445
77 Bates St
#C20442
Lewiston, ME 04240
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117810100 | Medicaid | ME |
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.