Individual provider Active NPI

Anna G Staehli Wiser, PT

  • Physical Therapist
  • Skowhegan, ME
National Provider Identifier
1477858215
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2537 Issued in ME
Practice address
20 North Ave
Skowhegan, ME 04976-1830
Phone
(207) 855-0715
NPI assigned
Jan 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19331 MA
Physical Therapist 225100000X PT2537 ME Primary

Addresses

Primary practice location

20 North Ave
Skowhegan, ME 04976-1830

Mailing address

20 North Ave
Skowhegan, ME 04976-1830
Phone (207) 855-0715

Other names 1

  • Anna Staehli Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
19331MAMDEndodontist
2537MEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Redington Medical Associates PastSince Feb 1, 2020 Accepting new patients
Redington-Fairview General Hospital PastSince Feb 1, 2020 Accepting new patients
Bouchard Physical Therapy Services Inc Physical Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1477858215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NORTH AVE",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761830",
            "telephone_number": "207-855-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NORTH AVE",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761830",
            "telephone_number": "207-855-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAEHLI WISER",
        "first_name": "ANNA",
        "middle_name": "G",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-25",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19331",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT2537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "STAEHLI",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Skowhegan, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.