Active NPI
Tina M Saucier I, PT
- Physical Therapist
- Eagle Lake, ME
National Provider Identifier
1477625382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT853
- Practice address
- 37 Carter Street
Eagle Lake, ME 04739 - Phone
- (207) 444-5152
- Fax
- (207) 444-2878
- NPI assigned
- Nov 15, 2006
- Last updated
- Jul 8, 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 | PT853 | ME | Primary |
Addresses
Primary practice location
37 Carter Street
Eagle Lake, ME 04739
Mailing address
239 U S Route 1
P O Box 64
Frenchville, ME 04745-0064
Phone (207) 728-6841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044747 | Other | ME | BLUE CROSS |
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 |
|---|---|---|---|
| PT853 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Maine General | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477625382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 U S ROUTE 1",
"address_2": "P O BOX 64",
"city": "FRENCHVILLE",
"state": "ME",
"postal_code": "047450064",
"telephone_number": "207-728-6841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 CARTER STREET",
"city": "EAGLE LAKE",
"state": "ME",
"postal_code": "04739",
"telephone_number": "207-444-5152",
"fax_number": "207-444-2878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUCIER",
"first_name": "TINA",
"middle_name": "M",
"name_prefix": "Ms.",
"name_suffix": "I",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT853",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "044747",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eagle Lake, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.