Active NPI
Angela Lee Depaola, PT
- Physical Therapist
- Biddeford, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4504
- Practice address
- 380 Elm St Ste 7
Biddeford, ME 04005-3059 - Phone
- (207) 571-3420
- NPI assigned
- Jun 20, 2018
- Last updated
- May 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT4504 | ME | Primary |
Addresses
Primary practice location
380 Elm St Ste 7
Biddeford, ME 04005-3059
Mailing address
380 Elm St Ste 7
Biddeford, ME 04005-3059
Phone (207) 571-3420
Other practice location 1
147 SW Shevlin Hixon Dr
Bend, OR 97702-3130
Phone (541) 312-2252
Other names 1
- Miss Angela Lee Serrani
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Peterson LCSW LLC | Current | Accepting new patients | |
| Pearcemd, P.a. | Current | Accepting new patients |
Locations
91 Auburn St
Ste U
Portland, ME 04103
Phone (207) 245-5883
147 SW Shevlin Hixon Dr
Ste 104
Bend, OR 97702
Phone (541) 312-2252
Organizations & group practices 2
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.
-
dba PearceMD Ear Nose Throat Specialty Care
- Otolaryngology Physician
- Portland, ME
- NPI 1962198580
-
- Mental Health Counselor
- Bend, OR
- NPI 1316503105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1396239695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 ELM ST STE 7",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040053059",
"telephone_number": "207-571-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 ELM ST STE 7",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040053059",
"telephone_number": "207-571-3420"
}
],
"practiceLocations": [
{
"address_1": "147 SW Shevlin Hixon Dr",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977023130",
"country_code": "US",
"telephone_number": "541-312-2252",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEPAOLA",
"first_name": "ANGELA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-20",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT4504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "SERRANI",
"middle_name": "LEE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.