Individual provider Active NPI

Marie Ann A. Dittmer, PT

  • Specialist
  • Scarborough, ME
National Provider Identifier
1598707259
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT1498 Issued in ME
Practice address
7 Oak Hill Ter
Scarborough, ME 04074-8996
Phone
(207) 289-1010
Fax
(207) 289-1011
NPI assigned
Jun 10, 2006
Last updated
Nov 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT1498 ME Primary

Addresses

Primary practice location

7 Oak Hill Ter
Scarborough, ME 04074-8996

Mailing address

7 Oak Hill Ter
Scarborough, ME 04074-8996
Phone (207) 289-1010

Other identifiers 2

IdentifierTypeStateIssuer
041373OtherMEBLUE CROSS BLUE SHIELD
AA49435OtherMEHARVARD PILGRIM

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
PT1498MEMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Falmouth Physical Therapy Assoc PastSince Jan 1, 1999 Accepting new patients

Organizations & group practices 2

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1598707259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OAK HILL TER",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748996",
            "telephone_number": "207-289-1010",
            "fax_number": "207-289-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OAK HILL TER",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748996",
            "telephone_number": "207-289-1010",
            "fax_number": "207-289-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTMER",
        "first_name": "MARIE ANN",
        "middle_name": "A.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "PT1498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "041373",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA49435",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.