Active NPI
Timothy Mousette, DPT
- Physical Therapist
- Sanford, ME
National Provider Identifier
1356996342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3806
- Practice address
- 13 July St
Sanford, ME 04073-1909 - Phone
- (207) 490-7098
- NPI assigned
- Aug 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3806 | ME | Primary |
Addresses
Primary practice location
13 July St
Sanford, ME 04073-1909
Mailing address
61 Mouse LN
Alfred, ME 04002-3618
Phone (603) 252-7586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3806 | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1356996342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 MOUSE LN",
"city": "ALFRED",
"state": "ME",
"postal_code": "040023618",
"telephone_number": "603-252-7586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 JULY ST",
"city": "SANFORD",
"state": "ME",
"postal_code": "040731909",
"telephone_number": "207-490-7098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUSETTE",
"first_name": "TIMOTHY",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-06",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT3806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.