Joanne R Blanchard, PT
Individual provider Active NPI Physical Therapist · Scarborough, ME
NPI 1164536462 · NPPES record last updated Apr 12, 2017
Key facts
- NPI
- 1164536462
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT270 (ME)
- Practice address
- 25 Plaza Dr.
Unit 6
Scarborough, ME 04074 - Phone
- (207) 289-1010
- Fax
- (207) 289-1011
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT270 | ME | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT270 | ME | Yes |
Addresses
Primary practice location
25 Plaza Dr.
Unit 6
Scarborough, ME 04074
Mailing address
25 Plaza Dr.
Unit 6
Scarborough, ME 04074
Phone (207) 289-1010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11223452 | Other | ME | CAQH # |
Other providers in Scarborough, ME
- Robert G Bing-You
- John Birknes
- Donna J Bisbee
- Bradford Jon Blanchard
- Fiona Blanchard
- Henry Blanchette
- Bluewater Therapy Services LLC
- Bluewater Therapy Services LLC
- Caitlin Louise Bodlovick
- Emma Bolduc
All providers in Scarborough, ME · 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 Apr 12, 2017. 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.