Rebecca Brewster-Taylor, PT

Individual provider Active NPI Pediatric Physical Therapist · Topsham, ME

NPI 1629409529 · NPPES record last updated Dec 3, 2013

Key facts

NPI
1629409529
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Physical Therapist 2251P0200X
License
PT1617 (ME)
Practice address
321 Lewiston Rd
Topsham, ME 04086-6185
Phone
(603) 748-0013
NPI assigned
Dec 3, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT1617MEMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kid Function, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT1617 ME Yes

Addresses

Primary practice location

321 Lewiston Rd
Topsham, ME 04086-6185

Mailing address

PO Box 564
Topsham, ME 04086-0564
Phone (603) 748-0013

Other providers in Topsham, ME

All providers in Topsham, ME · Pediatric Physical Therapist in Maine

Sources for this page

Verify at the official NPI Registry.