Marjorie H Kasten, P.T.

Individual provider Active NPI Physical Therapist · Charleston, ME

NPI 1194880997 · NPPES record last updated Mar 2, 2020

Key facts

NPI
1194880997
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT 294 (ME)
Practice address
299 Ridge Rd
Charleston, ME 04422-3440
Phone
(207) 941-1940
Fax
(207) 391-7803
NPI assigned
Dec 22, 2006
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

LicenseStateTypeSpecialty
PT 294MEMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 294 ME Yes

Addresses

Primary practice location

299 Ridge Rd
Charleston, ME 04422-3440

Mailing address

299 Ridge Rd
Charleston, ME 04422-3440
Phone (207) 941-1940

Other identifiers

IdentifierTypeStateIssuer
1233884OtherMECIGNA PROVIDER NUMBER
1041661OtherMEAETNA PROVIDER NUMBER
013020OtherMEBCBS STAR NUMBER
5451675OtherMEAETNA PROVIDER NUMBER
MN2493OtherMEHARVARD PILGRIM PROVIDER
4843646-001OtherMECIGNA PROVIDER NUMBER

Other providers in Charleston, ME

All providers in Charleston, ME · Physical Therapist in Maine

Sources for this page

Verify at the official NPI Registry.