Organization Active NPI

Labrie-Hunt Holdings, LLC

  • Occupational Therapist
  • Kittery, ME
National Provider Identifier
1154733384
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT167 Issued in ME
Legal business name
LABRIE-HUNT HOLDINGS, LLC
Practice address
37 Route 236 Ste 205
Kittery, ME 03904-6001
Phone
(207) 703-0072
Fax
(207) 703-0199
NPI assigned
May 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Authorized official

Name
Mr. Gregory W Hunt
Title
Chief Financial Officer
Phone
(207) 703-0072

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 1012 NH
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT167 ME Primary
Physical Therapy Clinic/Center 261QP2000X PT1739 ME

Addresses

Primary practice location

37 Route 236 Ste 205
Kittery, ME 03904-6001

Mailing address

PO Box 276
Dover, NH 03821-0276
Phone (207) 703-0072

Other identifiers 2

IdentifierTypeStateIssuer
7158150001OtherMEMEDICARE DMEPOS
E100164942OtherMEMEDICARE GRP OT/PT/ST

Other names 1

  • Atlantic Rehab & Lymphedema Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140814002439 ME DME Supplier - Independently-Practicing Occupational TherapistDME Supplier - Independently-Practicing Physical Therapist 4789801754 Practice locations: Kittery, ME
O20140926001007 ME Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789801754 Receives reassigned benefits from 2 practitioners
Practice locations: Kittery, ME

National Provider Directory

National Provider Directory

Locations

1 Route 236
Ste 4
Kittery, ME 03904
Phone (603) 743-8790

37 Route 236
Ste 205
Kittery, ME 03904
Phone (207) 703-0072

37 Route 236
Ste 110
Kittery, ME 03904
Phone (603) 743-8790

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1154733384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038210276",
            "telephone_number": "207-703-0072",
            "fax_number": "603-343-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 ROUTE 236 STE 205",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039046001",
            "telephone_number": "207-703-0072",
            "fax_number": "207-703-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABRIE-HUNT HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "207-703-0072",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "1012",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT167",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ME",
            "license": "PT1739",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMEPOS",
            "identifier": "7158150001",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP OT/PT/ST",
            "identifier": "E100164942",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Rehab & Lymphedema Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kittery, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.