Active NPI
Letha Kowalsky, PT
- Physical Therapist
- Brunswick, ME
National Provider Identifier
1669868063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2103
- Practice address
- 29 Maurice Dr
Brunswick, ME 04011-3270 - Phone
- (207) 725-7495
- Fax
- (207) 725-1350
- NPI assigned
- Apr 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2103 | ME | Primary |
Addresses
Primary practice location
29 Maurice Dr
Brunswick, ME 04011-3270
Mailing address
29 Maurice Dr
Brunswick, ME 04011-3270
Phone (207) 725-7495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2103 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Therapy Outpatient Services of Me, LLC | Physical Therapist | Current | Accepting new patients |
| Preferred Therapy Outpatient Services of Me, LLC | Physical Therapist | Current | Accepting new patients |
Locations
850 Silas Deane Hwy
Fl 2
Wethersfield, CT 06109
Phone (860) 610-0400
30 Community Dr
Camden, ME 04843
Phone (207) 230-6100
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 and National Provider Directory roles.
-
- Physical Therapist
- Brunswick, ME
- NPI 1043973589
-
- Physical Therapist
- Camden, ME
- NPI 1164285581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428883200000",
"number": "1669868063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 MAURICE DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113270",
"telephone_number": "207-725-7495",
"fax_number": "207-725-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 MAURICE DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113270",
"telephone_number": "207-725-7495",
"fax_number": "207-725-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALSKY",
"first_name": "LETHA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-13",
"last_updated": "2015-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT2103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.