Lisa St. Peter, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT707 Issued in ME

Practice address

163 Van Buren Rd
Caribou, ME 04736-3567

Phone

(207) 498-1170

NPI assigned

May 1, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lisa Bouchard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1508000795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BELANGER RD",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047364023",
            "telephone_number": "207-498-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 VAN BUREN RD",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047363567",
            "telephone_number": "207-498-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. PETER",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BOUCHARD",
            "prefix": "MRS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ian Blake Sotomayor, MS, OTR/L
• Carrie Lee St Peter, MA, CCC-SLP
• Dayna Sue St Peter
• Katelyn Marie St Peter, PT, DPT
• Kristi Marie St. Peter, OTR/L
• Danielle J. C. Stairs, MSOTR/L
• Emily R Steinhauer, CTRS
• Kimberlee Dae Susi, PTA
• Caleb Swanberg, MD
• Anne Swanson

• All providers in Caribou, ME
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.