Aaron Boumil, PT
Individual provider Active NPI Physical Therapist · Oakland, ME
NPI 1457063695 · NPPES record last updated Dec 20, 2022
Key facts
- NPI
- 1457063695
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT6342 (ME)
- Practice address
- 107 First Park Dr
Oakland, ME 04963-5367 - Phone
- (207) 873-8140
- Fax
- (207) 873-8141
- NPI assigned
- Dec 20, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6342 | ME | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6342 | ME | Yes |
Addresses
Primary practice location
107 First Park Dr
Oakland, ME 04963-5367
Mailing address
107 First Park Dr
Oakland, ME 04963-5367
Phone (207) 873-8140
Other providers in Oakland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.