Marissa L Paquette, L/ATC, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6069 Issued in ME

Practice address

176 Livermore Falls Rd
Farmington, ME 04938-6243

Phone

(207) 778-3370

NPI assigned

Sep 28, 2021

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

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saco Bay Orthopaedic and Sports Physical Therapy IncGroup PAC ID 9537069265, 137 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Saco Bay Orthopaedic and Sports Physical Therapy, Inc

  • Physical Therapist
  • Saco, ME
  • NPI 1346254315
  Medicare reassignment Care Compare group NPD
• Select Physical Therapy Holdings, Inc.

  • Rehabilitation Clinic/Center
  • Farmington, ME
  • NPI 1427564590

  Physical Therapist

  Medicare reassignment NPD
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Westbrook, ME
  • NPI 1396312807
  NPD
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

  • Rehabilitation Clinic/Center
  • Bethel, ME
  • NPI 1568091056
  NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1386316412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 BATTLE RIDGE RD",
            "city": "CLINTON",
            "state": "ME",
            "postal_code": "049273749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 LIVERMORE FALLS RD",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386243",
            "telephone_number": "207-778-3370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Dallas Hill Road",
            "address_purpose": "LOCATION",
            "city": "Rangeley",
            "state": "ME",
            "postal_code": "04970",
            "country_code": "US",
            "telephone_number": "207-864-3332 x3",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAQUETTE",
        "first_name": "MARISSA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "L/ATC, PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT6069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M O'Reilly, D.O.
• David Coleman Odonnell, LCPCC
• Sarah E Oemcke, LCPC
• Avery Rose Osella, MD
• Osteopathic Medicine of Maine PLLC
• Ryan G Pelton, LCSW
• Alexa Ryann Perkins, PHARMD
• Leah Perrigo
• Erin Ellen Peters, MOTR/L
• Victoria Petersen, MS, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.