Active NPI
Cheryl Harmon
- Physical Therapy Assistant
- Windham, ME
National Provider Identifier
1164700175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PA70000025
- Practice address
- 48 Tandberg TRL
Windham, ME 04062-6402 - Phone
- (207) 892-3952
- Fax
- (207) 892-4678
- NPI assigned
- Jul 25, 2011
- Last updated
- Jul 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PA70000025 | ME | Primary |
Addresses
Primary practice location
48 Tandberg TRL
Windham, ME 04062-6402
Mailing address
55 Congress Ave
Suite 6
Bath, ME 04530-1536
Phone (207) 386-0351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA70000025 | ME | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311638400000",
"number": "1164700175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 CONGRESS AVE",
"address_2": "SUITE 6",
"city": "BATH",
"state": "ME",
"postal_code": "045301536",
"telephone_number": "207-386-0351",
"fax_number": "207-386-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 TANDBERG TRL",
"city": "WINDHAM",
"state": "ME",
"postal_code": "040626402",
"telephone_number": "207-892-3952",
"fax_number": "207-892-4678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMON",
"first_name": "CHERYL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-25",
"last_updated": "2011-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "ME",
"license": "PA70000025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.