Ellen Noble Heckerd PT Ms PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT1472 Issued in ME

Legal business name

ELLEN NOBLE HECKERD PT MS PC

Practice address

14 Rawson Ave
Camden, ME 04843-1830

Phone

(207) 236-3605

Fax

(207) 230-0323

NPI assigned

Mar 9, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Ellen Noble Heckerd, PT

Title

President

Phone

(207) 236-3605

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459555200000",
    "number": "1376841775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 ELM ST STE 211",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431959",
            "telephone_number": "207-236-3605",
            "fax_number": "207-230-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RAWSON AVE",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431830",
            "telephone_number": "207-236-3605",
            "fax_number": "207-230-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN NOBLE HECKERD PT MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2016-04-02",
        "status": "A",
        "authorized_official_last_name": "HECKERD",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "NOBLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-236-3605",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ME",
            "license": "PT1472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen A Dishner, PMHNP-BC
• David William Dodson, MAC MASTER OF ACUPUN
• Marsha Leslie Domench, PT
• Dr Steven P Lary
• Thomas Edge, PHARMD
• Katherine Schoenthaler Ervin, MD
• Marc Felix, A.T.R.
• Five Town CSD
• Jennifer Fore
• Erin M Frisone, MA ,CCC-SLP

• All providers in Camden, ME
• Physical Therapy Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2016; 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.