Individual provider Active NPI

Tricia Martin Rossignol, PT

  • Physical Therapist
  • Caribou, ME
National Provider Identifier
1184239691
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2197 Issued in ME
Practice address
118 Bennett Dr Ste 140
Caribou, ME 04736-2052
Phone
(207) 498-6334
Fax
(207) 493-3247
NPI assigned
Sep 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2197 ME Primary

Addresses

Primary practice location

118 Bennett Dr Ste 140
Caribou, ME 04736-2052

Mailing address

118 Bennett Dr Ste 140
Caribou, ME 04736-2052
Phone (207) 498-6334

Other names 1

  • Tricia A Martin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200924001628 ME Practitioner - Physical Therapist in Private Practice 1759700776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County Physical Therapy LLCGroup PAC ID 3779520242, 19 clinicians

Practice addresses (Care Compare)

110 E Main St
Fort Kent, ME 04743-1407
Phone (207) 834-4117

118 Bennett Dr
Caribou, ME 04736-2052
Phone (207) 498-6334

98 Bangor St
Suite a
Houlton, ME 04730-1642
Phone (207) 521-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County Physical Therapy, LLC Physical Therapist CurrentSince Sep 15, 2020 Accepting new patients

Locations

118 Bennett Dr
Ste 140
Caribou, ME 04736
Phone (207) 498-6334

110 E Main St
Fort Kent, ME 04743
Phone (207) 834-3387

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1184239691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BENNETT DR STE 140",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362052",
            "telephone_number": "207-498-6334",
            "fax_number": "207-493-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 BENNETT DR STE 140",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362052",
            "telephone_number": "207-498-6334",
            "fax_number": "207-493-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSIGNOL",
        "first_name": "TRICIA",
        "middle_name": "MARTIN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT2197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "MARTIN",
            "middle_name": "A",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Caribou, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.