Active NPI
Claire E Donovan, PT
- Physical Therapist
- Bangor, ME
National Provider Identifier
1447452362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2990
- Practice address
- 700 Mt Hope Ave
Suite 320
Bangor, ME 04401-5680 - Phone
- (207) 941-2952
- Fax
- (207) 941-2955
- NPI assigned
- Jun 4, 2007
- 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 | PT2990 | ME | Primary |
Addresses
Primary practice location
700 Mt Hope Ave
Suite 320
Bangor, ME 04401-5680
Mailing address
246 7TH St
Bangor, ME 04401-5847
Phone (207) 947-5260
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2990 | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1447452362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 7TH ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044015847",
"telephone_number": "207-947-5260",
"fax_number": "207-947-5260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 MT HOPE AVE",
"address_2": "SUITE 320",
"city": "BANGOR",
"state": "ME",
"postal_code": "044015680",
"telephone_number": "207-941-2952",
"fax_number": "207-941-2955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "CLAIRE",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT2990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.