Tamara J Bannerman, BSCPT
Individual provider Active NPI Physical Therapist · Farmington, ME
NPI 1356517049 · NPPES record last updated Jun 28, 2019
Key facts
- NPI
- 1356517049
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT1360 (ME)
- Practice address
- 111 Franklin Health CMNS
Farmington, ME 04938 - Phone
- (207) 479-2620
- Fax
- (207) 479-2624
- NPI assigned
- May 2, 2008
- 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 |
|---|---|---|---|
| PT1360 | ME | MD | Physical Therapist |
| 1360 | ME | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1360 | ME | |
| Physical Therapist | 225100000X | PT1360 | ME | Yes |
Addresses
Primary practice location
111 Franklin Health CMNS
Farmington, ME 04938
Mailing address
111 Franklin Health CMNS
Farmington, ME 04938-6144
Phone (207) 479-2620
Other practice location 1
600 Main St
Bar Harbor, ME 04609-1523
Phone (207) 288-6000 ext. 6907
Other providers in Farmington, ME
- Kristie A Backus
- Katie Bailey
- Rya S Baird
- Isaac S Ball
- Abiodun Fatima Balogun
- Tyler Barnes
- Griffith R Batstone
- Mary L. Batt
- Eric Andre Beaudoin
- Lucy Brigette Begin-Murray
All providers in Farmington, ME · Physical Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2019. 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.