Active NPI
Eileen Pastorelli, P.T.
- Physical Therapist
- Kennebunk, ME
National Provider Identifier
1497898126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1416
- Practice address
- 87 Fletcher St
Kennebunk, ME 04043-6850 - Phone
- (207) 985-3960
- NPI assigned
- Feb 14, 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 | PT1416 | ME | Primary |
Addresses
Primary practice location
87 Fletcher St
Kennebunk, ME 04043-6850
Mailing address
14 Plummer LN
Kennebunk, ME 04043-6624
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 281240099 | Medicaid | ME | |
| 098387 | Other | ME | ANTHEM |
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 |
|---|---|---|---|
| PT1416 | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1497898126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 PLUMMER LN",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040436624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 FLETCHER ST",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040436850",
"telephone_number": "207-985-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTORELLI",
"first_name": "EILEEN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT1416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "281240099",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "098387",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kennebunk, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.