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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050105000574 | ME | Practitioner - Physical Therapist in Private Practice | 9133177215 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back in Motion Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Deabay Mobile Physical Therapy, LLC | Physical Therapist | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255680099 | Medicaid | ME | |
| 3742280 | Other | ME | AETNA |
NPI Registry JSON
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.