Renee M St. Jean, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT656 Issued in ME

Practice address

179 Lisbon St
Lower Level
Lewiston, ME 04240-7248

Phone

(207) 753-0100

Fax

(207) 753-0600

NPI assigned

Jun 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Neuromuscular Rehabilitation, PA

  • Physical Therapist
  • Lewiston, ME
  • NPI 1902059272
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1235333873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NEUROMUSCULAR REHABILITATION, PA",
            "address_2": "179 LISBON ST LOWER LOBBY SUITE 2",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407248",
            "telephone_number": "207-753-0100",
            "fax_number": "207-753-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 LISBON ST",
            "address_2": "LOWER LEVEL",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407248",
            "telephone_number": "207-753-0100",
            "fax_number": "207-753-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JEAN",
        "first_name": "RENEE",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265600099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265600000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Charles Speer, CRNA
• Ralph Mackenzie Sprague, M.A.
• Emily St Pierre, OTR/L
• Jessica St. Denis, LCSW
• Jennifer K St. George, PT
• Chantel St. Laurent, LMSW-CC, LADC, CCS
• William St. Marie, DO
• St. Mary'S Anesthesia Associates, P.a.
• St. Mary'S Regional Medical Center
• St. Mary'S Regional Medical Center

• Physical Therapist in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.