Rachael Marie Thebarge

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PA6575 Issued in ME

Practice address

181 Main St
Norway, ME 04268-5664

Phone

(207) 744-6160

NPI assigned

Jul 18, 2023

Last updated

Jul 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1366122087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 MAIN ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685664",
            "telephone_number": "207-744-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 MAIN ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685664",
            "telephone_number": "207-744-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEBARGE",
        "first_name": "RACHAEL",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "PA6575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Tatakis
• Jarrod Allman Taylor, PT
• Jessica S Taylor, FNP-C
• Tere and Judy PA (Tere K Porter OD)
• The Progress Center, Inc.
• Kassander Thompson, AUD
• Peter Van Rensselaer Tilney, DO
• Jennifer Elaine Tooley, DPT
• Danielle Tran, MD
• Kelly Trancygier, DPT

• Physical Therapy Assistant in Norway, ME
• Providers in Norway, ME by specialty
• Physical Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.