Suzanne Ruth Martin, PTA
Individual provider Active NPI Physical Therapy Assistant · Thomaston, ME
NPI 1306178264 · NPPES record last updated Feb 3, 2010
Key facts
- NPI
- 1306178264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PA70000924 (ME)
- Practice address
- 12 Duane Ave
Thomaston, ME 04861-3847 - Phone
- (207) 542-0406
- NPI assigned
- Feb 3, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA70000924 | ME | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PA70000924 | ME | Yes |
Addresses
Primary practice location
12 Duane Ave
Thomaston, ME 04861-3847
Mailing address
12 Duane Ave
Thomaston, ME 04861-3847
Phone (207) 542-0406
Other providers in Thomaston, ME
- Aaron Michael Guimond
- Edward Jay Harshman
- Scott B Kingsley
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- Maine School Administrative District #50
- Ocean Way Mental Health Agency
- Ocean Way Mental Health Agency Inc
- Linda M Pearse
- R. Scott Cunningham, D.D.S, P.a
- Stacy Lynn Robinson
All providers in Thomaston, ME · Physical Therapy Assistant in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.