Organization Active NPI

Therapy Shoppe, LLC

  • Customized Equipment (DME)
  • Mars Hill, ME
National Provider Identifier
1356147367
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
THERAPY SHOPPE, LLC
Practice address
93 Main St
Mars Hill, ME 04758-0683
Phone
(207) 227-2677
NPI assigned
Feb 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Candace Miriam Donovan, OT/LNPI 1942407846
Title
Owner
Phone
(207) 227-2677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

93 Main St
Mars Hill, ME 04758-0683

Mailing address

PO Box 683
Mars Hill, ME 04758-0683
Phone (207) 810-4579

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250911004531 ME DME Supplier - Medical Supply Company 2668990755 Practice locations: Mars Hill, ME

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Therapy Shoppe, LLC93 Main St, Mars Hill, ME 04758-0683(207) 801-4579 Pneumatic Compression Devices and/or Supplies|Breast Prostheses and/or Accessories|Surgical Dressings|Diabetic Shoes and Inserts|Lymphedema Compression Treatment Items|Rehabilitative Therapy Devices Accepts assignmentParticipating since Jun 23, 2025

National Provider Directory

National Provider Directory
Tax ID family
Therapy Shoppe2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1356147367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683",
            "city": "MARS HILL",
            "state": "ME",
            "postal_code": "047580683",
            "telephone_number": "207-810-4579",
            "fax_number": "207-425-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MAIN ST",
            "city": "MARS HILL",
            "state": "ME",
            "postal_code": "047580683",
            "telephone_number": "207-227-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SHOPPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "MIRIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-227-2677",
        "authorized_official_credential": "OT/L"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mars Hill, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.