Elissa B. Thibodeau, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

000129 Issued in ME

Practice address

94 Weld Street
Dixfield, ME 04224-0220

Phone

(207) 562-8048

Fax

(207) 562-7179

NPI assigned

Aug 17, 2006

Last updated

Jul 8, 2007By 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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lauren Hebert, PT,SC

  • Physical Therapist
  • Dixfield, ME
  • NPI 1760664452
  NPD (past)
• Smartcare Inc

  • Physical Therapist
  • Dixfield, ME
  • NPI 1861444226
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366555807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "DIXFIELD",
            "state": "ME",
            "postal_code": "042240220",
            "telephone_number": "207-562-8048",
            "fax_number": "207-563-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 WELD STREET",
            "city": "DIXFIELD",
            "state": "ME",
            "postal_code": "042240220",
            "telephone_number": "207-562-8048",
            "fax_number": "207-562-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAU",
        "first_name": "ELISSA",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "000129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Saphier, PA-C
• Smartcare Inc
• Taylor Jaye Smith, RDH, BS
• Cody St.Germain, DPT
• The Emma R Foundation LLC
• Melissa Vanlieu
• Danielle Williams

• Physical Therapist in Dixfield, ME
• Providers in Dixfield, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.