Individual provider Active NPI

Mary Anne Page, PT

  • Physical Therapist
  • Caribou, ME
National Provider Identifier
1194517789
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1254 Issued in ME
Practice address
163 Van Buren Rd Ste 1
Caribou, ME 04736-3588
Phone
(207) 498-1174
Fax
(207) 498-1149
NPI assigned
May 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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 PT1254 ME Primary

Addresses

Primary practice location

163 Van Buren Rd Ste 1
Caribou, ME 04736-3588

Mailing address

163 Van Buren Rd Ste 1
Caribou, ME 04736-3588
Phone (207) 498-1174

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250804003258 ME Practitioner - Physical Therapist in Private Practice 1759899461 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT1254MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
City of Caribou CurrentSince May 22, 2025 Accepting new patients

Locations

163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227

163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320

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": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1194517789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 VAN BUREN RD STE 1",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047363588",
            "telephone_number": "207-498-1174",
            "fax_number": "207-498-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 VAN BUREN RD STE 1",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047363588",
            "telephone_number": "207-498-1174",
            "fax_number": "207-498-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.