Active NPI
Carolann Present
- Mechanotherapist
- Portland, ME
National Provider Identifier
1306019773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MT209
- Practice address
- 535 Ocean Ave Ste 1
Portland, ME 04103-4970 - Phone
- (207) 329-1154
- NPI assigned
- Apr 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MT209 | ME | Primary |
Addresses
Primary practice location
535 Ocean Ave Ste 1
Portland, ME 04103-4970
Mailing address
PO Box 481
Portland, ME 04112-0481
Phone (207) 329-1154
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT209 | ME | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414800000000",
"number": "1306019773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 481",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041120481",
"telephone_number": "207-329-1154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 OCEAN AVE STE 1",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041034970",
"telephone_number": "207-329-1154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESENT",
"first_name": "CAROLANN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-08",
"last_updated": "2014-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "ME",
"license": "MT209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.