Active NPI
Donna Flynn
- Physical Therapy Assistant
- Farmington, ME
National Provider Identifier
1730424128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PA3833
- Practice address
- 119 Livermore Falls Rd
Farmington, ME 04938-6241 - Phone
- (207) 778-6591
- Fax
- (207) 779-0862
- NPI assigned
- Dec 11, 2012
- Last updated
- Dec 11, 2012
- 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 Therapy Assistant | 225200000X | PA3833 | ME | Primary |
Addresses
Primary practice location
119 Livermore Falls Rd
Farmington, ME 04938-6241
Mailing address
269 Fairbanks Rd
Farmington, ME 04938-5723
Phone (860) 558-9433
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 |
|---|---|---|---|
| PA3833 | ME | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1730424128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 FAIRBANKS RD",
"city": "FARMINGTON",
"state": "ME",
"postal_code": "049385723",
"telephone_number": "860-558-9433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 LIVERMORE FALLS RD",
"city": "FARMINGTON",
"state": "ME",
"postal_code": "049386241",
"telephone_number": "207-778-6591",
"fax_number": "207-779-0862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "DONNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-11",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "ME",
"license": "PA3833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.