Individual provider Active NPI

Erin Pelletier, PT

  • Physical Therapist
  • Bangor, ME
National Provider Identifier
1144239583
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2811 Issued in ME
Practice address
336 Mount Hope Ave
Bangor, ME 04401-4236
Phone
(207) 249-6621
Fax
(207) 512-1254
NPI assigned
Aug 5, 2006
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT2811MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deabay Mobile Physical Therapy, LLC Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
Back in Motion Physical Therapy, LLC Physical Therapist CurrentSince Feb 8, 2021 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

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

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.