Active NPI
Kyla Lee Jonah-Hourihan, PT
- Physical Therapist
- Eagle Lake, ME
National Provider Identifier
1700905916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3139
- Practice address
- 37 Carter Street
Eagle Lake, ME 04739-3049 - Phone
- (207) 444-5152
- Fax
- (207) 444-2878
- NPI assigned
- Mar 28, 2007
- 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 Therapist | 225100000X | PT3139 | ME | Primary |
Addresses
Primary practice location
37 Carter Street
Eagle Lake, ME 04739-3049
Mailing address
20 Warden LN
Eagle Lake, ME 04739-3049
Phone (207) 444-5152
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 |
|---|---|---|---|
| PT3139 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Maine General | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Eagle Lake, ME
- NPI 1831211507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700905916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WARDEN LN",
"city": "EAGLE LAKE",
"state": "ME",
"postal_code": "047393049",
"telephone_number": "207-444-5152",
"fax_number": "207-444-2878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 CARTER STREET",
"city": "EAGLE LAKE",
"state": "ME",
"postal_code": "047393049",
"telephone_number": "207-444-5152",
"fax_number": "207-444-2878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONAH-HOURIHAN",
"first_name": "KYLA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT3139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle Lake, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.