Charlotte Rains Leary

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3853 Issued in ME

Practice address

100 Brickhill Ave
Suite 301
South Portland, ME 04106-1999

Phone

(207) 879-7510

NPI assigned

Jul 28, 2011

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

Other names 1

• Charlotte Rains Faircloth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Pelvic Perspective, LLC

  • Physical Therapy Clinic/Center
  • Grantham, NH
  • NPI 1568155281
  NPD Authorized official

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1407134281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CONGRESS AVE",
            "address_2": "SUITE 6",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045301536",
            "telephone_number": "207-846-8725",
            "fax_number": "207-846-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRICKHILL AVE",
            "address_2": "SUITE 301",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061999",
            "telephone_number": "207-879-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARY",
        "first_name": "CHARLOTTE",
        "middle_name": "RAINS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "FAIRCLOTH",
            "middle_name": "RAINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura E Krause & Stephen E Palmer PTRS
• Barbara C. Lavallee, RDH
• Kathryn K Lavoie, LCPC
• Matthew E Lawler, DMD
• Victoria L Lazareth, NP
• Christian Leathley, FNP-C
• Christopher W Lebeis, MD
• Natalie Ledue, FNP
• Kathleen D. Lee, P.A.
• Hailey L Lefebvre

• Physical Therapist in South Portland, ME
• Providers in South Portland, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.