Joan E Lofthus, PTA
Individual provider Active NPI Skilled Nursing Facility · Fairfield, ME
NPI 1164699062 · NPPES record last updated May 11, 2008
Key facts
- NPI
- 1164699062
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- PA1574 (ME)
- Practice address
- 40 Water St
Fairfield, ME 04937-1535 - Phone
- (207) 453-9458
- NPI assigned
- May 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1574 | ME | MD | Skilled Nursing Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | PA1574 | ME | Yes |
Addresses
Primary practice location
40 Water St
Fairfield, ME 04937-1535
Mailing address
40 Water St
Fairfield, ME 04937-1535
Phone (207) 453-9458
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA1574 | Other | ME | PTA LICENSE |
Other providers in Fairfield, ME
- Alexis Faith Lewis
- Ronald S Lewis
- Xiaoqing Li
- Erin Elizabeth Lichtenstein
- Lincare Inc.
- Maine School Administrative District No 49
- Barbara Mansir
- Scott Mayo
- Christian McGowan
- Carly Anne McKeil
All providers in Fairfield, ME · Skilled Nursing Facility in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2008. 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.