NPIMap

Organization Active NPI

Tardif Community Therapy & Wellness PA

  • Specialist
  • Hampden, ME
National Provider Identifier
1588959647
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT532 Issued in ME
Legal business name
TARDIF COMMUNITY THERAPY & WELLNESS PA
Practice address
11 Main Road North
Hampden, ME 04444-0227
Phone
(207) 862-5709
NPI assigned
Jun 16, 2011
Last updated
Aug 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Authorized official

Name
Dana Paul Tardif, PTNPI 1396775383
Title
Owner
Phone
(207) 862-5709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PT532 ME Primary

Addresses

Primary practice location

11 Main Road North
Hampden, ME 04444-0227

Mailing address

PO Box 227
Hampden, ME 04444-0227
Phone (207) 862-5709

National Provider Directory

National Provider Directory

Locations

611 Wilson St
Brewer, ME 04412
Phone (207) 989-9730

56 Main Rd N
Hampden, ME 04444
Phone (207) 862-2222

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1588959647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044440227",
            "telephone_number": "207-862-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAIN ROAD NORTH",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044440227",
            "telephone_number": "207-862-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARDIF COMMUNITY THERAPY & WELLNESS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "TARDIF",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-862-5709",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "ME",
            "license": "PT532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampden, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.