Organization Active NPI

Trade Winds Health, Swim, & Tan Club, Inc.

  • Physical Therapist
  • Rockland, ME
National Provider Identifier
1447202072
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRADE WINDS HEALTH, SWIM, & TAN CLUB, INC.
Practice address
2 Park Dr
Rockland, ME 04841-3449
Phone
(207) 596-6889
Fax
(207) 596-2105
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Aimee Liberty
Title
Ceo
Phone
(207) 542-9081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2 Park Dr
Rockland, ME 04841-3449

Mailing address

2 Park Dr
Rockland, ME 04841-3449
Phone (207) 596-6889

Other names 1

  • Coastal Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2 Park Dr
Rockland, ME 04841
Phone (207) 596-5565

77 Winslows Mills Rd
Waldoboro, ME 04572
Phone (207) 832-2260

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1447202072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARK DR",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048413449",
            "telephone_number": "207-596-6889",
            "fax_number": "207-596-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARK DR",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048413449",
            "telephone_number": "207-596-6889",
            "fax_number": "207-596-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADE WINDS HEALTH, SWIM, & TAN CLUB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "LIBERTY",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-542-9081"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.