Haven Physical Therapy and Pelvic Health LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

HAVEN PHYSICAL THERAPY AND PELVIC HEALTH LLC

Practice address

251 US Route 1 Ste 9
Falmouth, ME 04105-1322

Phone

(207) 632-9655

NPI assigned

Nov 21, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marny Elliott WitasNPI 1699798017

Title

PT

Phone

(207) 632-9655

Specialties & licenses 1

Addresses

Other names 1

• Haven Physical Therapy and Pelvic Health LLC Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marny E Witas, PHYSICAL THERAPIST

  • Physical Therapist
  • Scarborough, ME
  • NPI 1699798017
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605916800000",
    "number": "1184227084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 US ROUTE 1 STE 9",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051322",
            "telephone_number": "207-632-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 US ROUTE 1 STE 9",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051322",
            "telephone_number": "207-632-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN PHYSICAL THERAPY AND PELVIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-21",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A",
        "authorized_official_last_name": "WITAS",
        "authorized_official_first_name": "MARNY",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "207-632-9655"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Physical Therapy and Pelvic Health LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Therapy Clinic/Center in Falmouth, ME
• Providers in Falmouth, ME by specialty
• Physical Therapy Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.