Chickadee Therapy Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CHICKADEE THERAPY SERVICES, LLC

Practice address

17 Campground LN
Oxford, ME 04270-3151

Phone

(207) 579-4255

NPI assigned

Nov 4, 2021

Organization subpart

No

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

Authorized official

Name

Timothy Falso

Title

Managing Member

Phone

(207) 579-4255

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1457016404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CAMPGROUND LN",
            "city": "OXFORD",
            "state": "ME",
            "postal_code": "042703151",
            "telephone_number": "207-688-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CAMPGROUND LN",
            "city": "OXFORD",
            "state": "ME",
            "postal_code": "042703151",
            "telephone_number": "207-579-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICKADEE THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "FALSO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "207-579-4255"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Bisbee
• Amber Bradigan, MOT, OTR/L
• Tyler Caron, PHARM.D
• Harry Goff Carpenter Jr., M.D.
• Katherine Carroll
• Child Health Center
• Child Health Center-Occupational Therapy
• Child Health Center-Physical Therapy
• Child Health Center-Speech Therapy
• Andrea Cobb

• All providers in Oxford, ME
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.