Nichole Marie Tremblay, P.T.

Primary specialty

ContractorTaxonomy code 171W00000X

License

PT1381 Issued in ME

Practice address

13 Brock Ave
Sanford, ME 04073-1927

Phone

(207) 324-5477

NPI assigned

May 3, 2010

Last updated

Apr 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Stepping Forward Physical Therapy LLC

  • Physical Therapist
  • Sanford, ME
  • NPI 1093194508
  NPD Authorized official

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1386961209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 7TH ST",
            "city": "ACTON",
            "state": "ME",
            "postal_code": "040014607",
            "telephone_number": "207-450-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BROCK AVE",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040731927",
            "telephone_number": "207-324-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMBLAY",
        "first_name": "NICHOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "ME",
            "license": "PT1381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Josesph Toka, D.C.
• Lauren M Torch, LCSW
• Christina Tracy, LMSW-CC
• Sophie Trede, MD
• Michael Henry Tremblay
• Rebecca Tryon, LCSW
• Diana Tsai, PHARM.D.
• Patrick Sweeney Underwood, NRP FP-C
• Lionel Ross Vachon, D.D.S.
• Kelly Vanbrocklin

• Contractor in Sanford, ME
• Providers in Sanford, ME by specialty
• Contractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.