Dana Paul Tardif, P.T. ; LMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT532 Issued in ME

Practice address

11 Main Road North
Hampden, ME 04444-0227

Phone

(207) 862-3906

Fax

(207) 862-2892

NPI assigned

Jul 4, 2006

Last updated

Oct 25, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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.

• Tardif Community Therapy & Wellness PA

  • Specialist
  • Hampden, ME
  • NPI 1588959647
  Authorized official Same address or phone

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1396775383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "address_2": "11 MAIN ROAD NORTH",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044440227",
            "telephone_number": "207-862-3906",
            "fax_number": "207-862-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAIN ROAD NORTH",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044440227",
            "telephone_number": "207-862-3906",
            "fax_number": "207-862-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARDIF",
        "first_name": "DANA",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "P.T. ; LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252020099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Stephens, PA
• Steven M Lord PA (River Town Family Eye Care)
• Steven M Lord PA (River Town Family Eye Care)
• Sunbury Primary Care, P.a. (Hampden Family Medicine)
• Tardif Community Therapy & Wellness PA
• Michael P Tardif, PT
• The Corson's Home
• Keith Gordon Tibbetts, LCPC
• Town of Hampden (Hampden Fire Department)
• True North Chiropractic PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.