Active NPI
Ruth Esther Pelletier, PTA
- Physical Therapy Assistant
- Falmouth, ME
National Provider Identifier
1689269680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PA5713
- Practice address
- 22 Northbrook Dr
Falmouth, ME 04105-1318 - Phone
- (207) 781-5775
- NPI assigned
- Mar 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | PA5713 | ME | Primary |
Addresses
Primary practice location
22 Northbrook Dr
Falmouth, ME 04105-1318
Mailing address
58 Pleasant St Apt 2
Westbrook, ME 04092-4088
Phone (207) 321-1472
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA5713 | ME | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1689269680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 PLEASANT ST APT 2",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040924088",
"telephone_number": "207-321-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 NORTHBROOK DR",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "041051318",
"telephone_number": "207-781-5775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLETIER",
"first_name": "RUTH",
"middle_name": "ESTHER",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-02",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "ME",
"license": "PA5713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Falmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.