Up & Away Therapies LLC
Organization Active NPI Pediatric Physical Therapist · North Yarmouth, ME
NPI 1164028106 · NPPES record last updated Dec 6, 2020
Key facts
- NPI
- 1164028106
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- Legal business name
- UP & AWAY THERAPIES LLC
- Practice address
- 51 Pine Ridge Rd
North Yarmouth, ME 04097-6950 - Phone
- (617) 869-1179
- NPI assigned
- Dec 6, 2020
- Organization subpart
- No
Authorized official
- Name
- Elizabeth Cyr, PT, DPT, PCS
- Title
- Co-Owner, Physical Therapist
- Phone
- (617) 869-1179
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist |
2251P0200X | Yes |
Addresses
Primary practice location
51 Pine Ridge Rd
North Yarmouth, ME 04097-6950
Mailing address
51 Pine Ridge Rd
North Yarmouth, ME 04097-6950
Phone (617) 869-1179
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972642866 | Medicaid | MA | |
| 1730310160 | Medicaid | ME |
Other providers in North Yarmouth, ME
- Rodney Alan Nadeau
- New Frontiers Chiropractic LLC
- Ramona Marie Panici
- Ramona Panici PHD LLC PA
- Town of North Yarmouth
All providers in North Yarmouth, ME · Pediatric Physical Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.