Jill Pelletier

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

98 Clearwater Dr.
Suite #3
Falmouth, ME 04105

Phone

(207) 781-9885

Fax

(207) 781-9887

NPI assigned

Aug 30, 2006

Last updated

Oct 15, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edgewater Orthopedic Physical Therapy, LLCGroup PAC ID 2961599907, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edgewater Orthopedic Physical Therapy, LLC

  • Physical Therapist
  • Falmouth, ME
  • NPI 1053518332
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1770693350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CLEARWATER DR.",
            "address_2": "SUITE #3",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "04105",
            "telephone_number": "207-781-9885",
            "fax_number": "207-781-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 CLEARWATER DR.",
            "address_2": "SUITE #3",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "04105",
            "telephone_number": "207-781-9885",
            "fax_number": "207-781-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PT3114",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Paulosky, PT
• Brynna Pawlows, LCSW
• Peak Sleep Maine
• Pediatric Physical Therapy Connection
• Jennifer Pellegore
• Ruth Esther Pelletier, PTA
• Joyce H Pelletur, CLINICIAL COUNSELOR
• Erika Marie Penrod
• Eileen M Peterson, M.S.,BOARD CERTIFIED
• Phoenix Therapy, LLC

• Physical Therapist in Falmouth, ME
• Providers in Falmouth, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.