Calais Regional Hospital

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CALAIS REGIONAL HOSPITAL

Doing business as

EASTPORT PHYSICAL THERAPY

Practice address

30 Boynton St
Eastport, ME 04631-1306

Phone

(207) 454-7521

NPI assigned

Feb 12, 2019

Organization subpart

Yes

Parent organization

CALAIS REGIONAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Mrs. Mary Barnett

Title

Compliance Officer

Phone

(207) 454-9253

Specialties & licenses 1

Addresses

Other names 1

• EASTPORT PHYSICAL THERAPY Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Calais Community Hospital

  • Critical Access Hospital
  • Calais, ME
  • NPI 1922001049

  O20040706000791

  Same enrollment

Tax ID family

Calais Reg Hospital2 organizations share this tax ID, including this one

Part of

Calais Reg Hospital

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Calais Regional Hospital Home Health

  • Home Health Agency
  • Calais, ME
  • NPI 1831323401
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy Tippie, MD

  • Emergency Medicine Physician
  • Lewiston, ME
  • NPI 1124090204
  NPD

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1346706629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL LN",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191329",
            "telephone_number": "207-454-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BOYNTON ST",
            "city": "EASTPORT",
            "state": "ME",
            "postal_code": "046311306",
            "telephone_number": "207-454-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALAIS REGIONAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALAIS REGIONAL HOSPITAL",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "207-454-9253",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTPORT PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EASTPORT PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bio-Medical Applications of Maine, Inc.
• David E Brass, LADC
• Brian C Brooks
• Jan M Brown, CADC
• Tammy Carr
• John F Cassidy IV, PA-C
• Charlotte School
• Dennysville School Department
• Kathi M Dimiceli, LCSW

• Physical Therapy Clinic/Center in Eastport, ME
• Providers in Eastport, ME by specialty
• Physical Therapy Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.