Active NPI
Labrie-Hunt Holdings, LLC
- Occupational Therapist
- Kittery, ME
National Provider Identifier
1154733384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT167
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1012 | NH | |
| Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7158150001 | Other | ME | MEDICARE DMEPOS |
| E100164942 | Other | ME | MEDICARE GRP OT/PT/ST |
Other names 1
- Atlantic Rehab & Lymphedema Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140814002439 | ME | DME Supplier - Independently-Practicing Occupational 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 DirectoryLocations
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.
-
- Occupational Therapist
- Kittery, ME
- NPI 1447445788
ME, Physical Therapist
-
- Physical Therapist
- South Berwick, ME
- NPI 1881904076
ME, Physical Therapist
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.