Roberta Hartigan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PA2146 Issued in ME

Practice address

25 Dallas Hill Road
Rangeley, ME 04970

Phone

(207) 864-3332

Fax

(207) 864-9224

NPI assigned

Jan 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Rangeley Region Health and Wellness Partnership

  • Physical Therapy Clinic/Center
  • Rangeley, ME
  • NPI 1063816189
  NPD (past)

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1144766536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 722",
            "city": "RANGELEY",
            "state": "ME",
            "postal_code": "049700722",
            "telephone_number": "207-864-3332",
            "fax_number": "207-864-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 DALLAS HILL ROAD",
            "city": "RANGELEY",
            "state": "ME",
            "postal_code": "04970",
            "telephone_number": "207-864-3332",
            "fax_number": "207-864-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTIGAN",
        "first_name": "ROBERTA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "PA2146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE STATE PTA LICENSE NUMBER",
            "identifier": "PA2146",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PA2146",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Dumont
• Stephanie Schwartz Fahy, PT, DPT
• Kim Gooding, OTR
• Jane Louise Gordon, NP-PP
• Allissa Jean Gurney, FNP
• Healthreach Community Health Centers
• Robert J Jacobs, MD
• Kim Gooding Occupational Therapy PLLC
• Burton Knapp, M.D.
• Angela Kristoff, LCSW

• All providers in Rangeley, ME
• Physical Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.