Individual provider Active NPI

Mark J Rossignol, PT

  • Physical Therapist
  • Caribou, ME
National Provider Identifier
1740293190
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT581 Issued in ME
Practice address
118 Bennett Dr
Suite 140
Caribou, ME 04736-2052
Phone
(207) 498-6334
Fax
(207) 493-3247
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT581 ME Primary

Addresses

Primary practice location

118 Bennett Dr
Suite 140
Caribou, ME 04736-2052

Mailing address

118 Bennett Dr
Suite 140
Caribou, ME 04736-2052
Phone (207) 498-6334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040122000366 ME Practitioner - Physical Therapist in Private Practice 7315849239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County Physical Therapy LLCGroup PAC ID 3779520242, 19 clinicians

Practice addresses (Care Compare)

110 E Main St
Fort Kent, ME 04743-1407
Phone (207) 834-4117

118 Bennett Dr
Caribou, ME 04736-2052
Phone (207) 498-6334

98 Bangor St
Suite a
Houlton, ME 04730-1642
Phone (207) 521-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County Physical Therapy, LLC Physical Therapist CurrentSince Jan 1, 2005 Accepting new patients

Locations

82 Sylvan Rd
Bangor, ME 04401
Phone (207) 401-4324

118 Bennett Dr
Ste 140
Caribou, ME 04736
Phone (207) 498-6334

43 Hatch Dr
Ste 140
Caribou, ME 04736
Phone (207) 498-6334

110 E Main St
Fort Kent, ME 04743
Phone (207) 834-3387

98 Bangor St
Ste A
Houlton, ME 04730
Phone (207) 521-0200

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1740293190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BENNETT DR",
            "address_2": "SUITE 140",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362052",
            "telephone_number": "207-498-6334",
            "fax_number": "207-493-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 BENNETT DR",
            "address_2": "SUITE 140",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362052",
            "telephone_number": "207-498-6334",
            "fax_number": "207-493-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSIGNOL",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caribou, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.