Michelle Kasap-Gomes, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PT1669 Issued in ME

Practice address

74 Parkway S
Brewer, ME 04412-1628

Phone

(207) 989-7300

NPI assigned

May 22, 2008

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

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1407013741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 FINSON RD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012421",
            "telephone_number": "207-989-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 PARKWAY S",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121628",
            "telephone_number": "207-989-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASAP-GOMES",
        "first_name": "MICHELLE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "PT1669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay E Jones, PA
• Christopher Jordan, CTRS
• Jay Joseph, MD
• Teddy Kajkowski, PT
• Khalil Kamar
• Taylor Forrest Kelley, LCPC
• Patricia Ann Kenaley, FNP
• Emily Ketch, OD
• Lisa M Keyser, CLINICAL SOCIAL WORK
• Sean Patrick Kidwell, PHARMD

• Physical Therapy Assistant in Brewer, ME
• Providers in Brewer, ME by specialty
• Physical Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.