Individual provider Active NPI

Lauren Heulitt

  • Physical Therapy Assistant
  • Pittsfield, ME
National Provider Identifier
1649957010
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
0794544 Issued in ME
Practice address
167 Sebasticook St
Pittsfield, ME 04967-4107
Phone
(207) 416-5236
NPI assigned
Jun 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0794544 ME Primary

Addresses

Primary practice location

167 Sebasticook St
Pittsfield, ME 04967-4107

Mailing address

114 Donigan Rd
Moscow, ME 04920-3136
Phone (732) 966-4810

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
0794544MEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Function First Therapy LLC CurrentSince Jul 2, 2023 Accepting new patients

Locations

167 Sebasticook St
Pittsfield, ME 04967
Phone (207) 416-2327

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.

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1649957010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 DONIGAN RD",
            "city": "MOSCOW",
            "state": "ME",
            "postal_code": "049203136",
            "telephone_number": "732-966-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 SEBASTICOOK ST",
            "city": "PITTSFIELD",
            "state": "ME",
            "postal_code": "049674107",
            "telephone_number": "207-416-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEULITT",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "0794544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.