Erin Pelletier, PT

Individual provider Active NPI Physical Therapist · Bangor, ME

NPI 1144239583 · NPPES record last updated Apr 15, 2026

Key facts

NPI
1144239583
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT2811 (ME)
Practice address
336 Mount Hope Ave
Bangor, ME 04401-4236
Phone
(207) 249-6621
Fax
(207) 512-1254
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Rolling Meadow Dr
Bangor, ME 04401-8805

62 Graham Ave S
Bangor, ME 04401-5879

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ME

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050105000574 ME Practitioner - Physical Therapist in Private Practice 9133177215 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Motion Physical Therapy, LLC Physical Therapist Current
since Feb 8, 2021
Accepting new patients
Deabay Mobile Physical Therapy, LLC Physical Therapist Current
since Jul 1, 2022
Accepting new patients
Sunbury Primary Care, P.a. Physical Therapist Past Accepting new patients
Sunbury Primary Care, P.a. Past Accepting new patients
Sunbury Primary Care, P.a. Past Accepting new patients

Locations

336 Mount Hope Ave
Ste 9
Bangor, ME 04401
Phone (207) 249-6621

117 Broadway
Ste 1
Bangor, ME 04401
Phone (207) 990-0188

797 Wilson St
Brewer, ME 04412
Phone (207) 992-4042

248 State St
Ste 3A
Ellsworth, ME 04605
Phone (207) 667-4278

94 Main St
Gorham, ME 04038
Phone (207) 839-5225

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2811 ME Yes

Addresses

Primary practice location

336 Mount Hope Ave
Bangor, ME 04401-4236

Mailing address

62 Graham Ave S
Bangor, ME 04401-5879
Phone (207) 249-6621

Other identifiers

IdentifierTypeStateIssuer
255680099MedicaidME
3742280OtherMEAETNA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 15, 2026.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1144239583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 GRAHAM AVE S",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015879",
            "telephone_number": "207-249-6621",
            "fax_number": "207-512-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 MOUNT HOPE AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014236",
            "telephone_number": "207-249-6621",
            "fax_number": "207-512-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "ERIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT2811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255680099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3742280",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

All providers in Bangor, ME · Physical Therapist in Maine

Sources for this page

Verify at the official NPI Registry.