Individual provider Active NPI

Kathleen L Caron, MSPT

  • Physical Therapist
  • Auburn, ME
National Provider Identifier
1326212879
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3073 Issued in ME
Practice address
690 Minot Ave Ste 1
Auburn, ME 04210-3968
Phone
(207) 783-3450
Fax
(207) 777-3979
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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 PT3073 ME Primary

Addresses

Primary practice location

690 Minot Ave Ste 1
Auburn, ME 04210-3968

Mailing address

90 Lorelie Dr
Sabattus, ME 04280-4279
Phone (207) 520-0452

Other practice location 1

300 Main St
Lewiston, ME 04240-7027
Phone (207) 779-5011

Other practice location 2

90 Lorelie Dr
Sabattus, ME 04280-4279
Phone (207) 520-0452

Other names 1

  • Kathleen St. Pierre Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080606000603 ME Practitioner - Physical Therapist in Private Practice 1052481736 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT3073MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc Physical Therapist Current Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Feb 4, 2021 Accepting new patients
Select Physical Therapy Holdings, Inc. Physical Therapist Current Accepting new patients
Central Maine Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Feb 4, 2021 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Oct 31, 2022 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Oct 31, 2022 Accepting new patients
Central Maine Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Head to Toe Physical Therapy Physical Therapist PastSince Sep 26, 2006 Accepting new patients

Locations

730 Center St
Ste 9
Auburn, ME 04210
Phone (207) 783-3450

690 Minot Ave
#1
Auburn, ME 04210
Phone (207) 783-1328

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

400 North St
#2
Saco, ME 04072
Phone (207) 282-7121

105 Topsham Fair Mall Rd
Topsham, ME 04086
Phone (207) 295-8090

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 9

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": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1326212879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LORELIE DR",
            "city": "SABATTUS",
            "state": "ME",
            "postal_code": "042804279",
            "telephone_number": "207-520-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 MINOT AVE STE 1",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042103968",
            "telephone_number": "207-783-3450",
            "fax_number": "207-777-3979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Main St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042407027",
            "country_code": "US",
            "telephone_number": "207-779-5011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Lorelie Dr",
            "address_purpose": "LOCATION",
            "city": "Sabattus",
            "state": "ME",
            "postal_code": "042804279",
            "country_code": "US",
            "telephone_number": "207-520-0452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARON",
        "first_name": "KATHLEEN",
        "middle_name": "L",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "ST. PIERRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.