Pine Tree Orthopedic Lab LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PINE TREE ORTHOPEDIC LAB LLC

Practice address

175 Park St
Livermore Falls, ME 04254-4125

Phone

(207) 897-5558

Fax

(207) 897-1117

NPI assigned

Jul 9, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Macdonald

Title

President

Phone

(207) 897-5558

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1124257357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 PARK ST",
            "city": "LIVERMORE FALLS",
            "state": "ME",
            "postal_code": "042544125",
            "telephone_number": "207-897-5558",
            "fax_number": "207-897-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 PARK ST",
            "city": "LIVERMORE FALLS",
            "state": "ME",
            "postal_code": "042544125",
            "telephone_number": "207-897-5558",
            "fax_number": "207-897-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE TREE ORTHOPEDIC LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-897-5558",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Neil, LCSW
• Ellen Marie Parker, RN
• Michelle Ann Pelletier, LADC, MHRT/C
• Elecia Christine Pillsbury, L.C.P.C.
• Pine Tree Orthopedic Lab Inc.
• Regional School Unit 73
• Nicholas J Rehagen, PH.D.
• Rite Aid of Maine Inc
• Rockomeka Family Practice LLC
• Michael T Rowland, MD, MPH

• Durable Medical Equipment & Medical Supplies in Livermore Falls, ME
• Providers in Livermore Falls, ME by specialty
• Durable Medical Equipment & Medical Supplies in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.