Jessy Matthew Garrett, PTA
Individual provider Active NPI Physical Therapy Assistant · Fairfield, ME
NPI 1134849110 · NPPES record last updated Aug 31, 2022
Key facts
- NPI
- 1134849110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PA6296 (ME)
- Practice address
- 95 Skowhegan Rd
Fairfield, ME 04937-3479 - Phone
- (207) 453-1330
- NPI assigned
- Aug 31, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA6296 | ME | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PA6296 | ME | Yes |
Addresses
Primary practice location
95 Skowhegan Rd
Fairfield, ME 04937-3479
Mailing address
16 Martin Ave
Waterville, ME 04901-4628
Phone (207) 250-1065
Other providers in Fairfield, ME
- El Rancho de la Vida
- Fairfield Family Practice
- Fairfield Pharmacy
- Roderick A Forrey
- Tania Coy Gardiner Hassard
- Jennifer L Giroux
- Tracey S Glinko
- Kelsey Jean Gwazdosky
- Jessica Lee Gyles
- Dana M Haddad
All providers in Fairfield, ME · Physical Therapy Assistant in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 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.