Dana Michael Tavares, LMT.,CPT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MT1780 Issued in ME

Practice address

400 Egypt Rd
Damariscotta, ME 04543-4322

Phone

(207) 563-2737

Fax

(207) 563-2737

NPI assigned

Nov 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1801077086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EGYPT RD",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434322",
            "telephone_number": "207-563-2737",
            "fax_number": "207-563-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EGYPT RD",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434322",
            "telephone_number": "207-563-2737",
            "fax_number": "207-563-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVARES",
        "first_name": "DANA",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LMT.,CPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "ME",
            "license": "MT1780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauri A Stetson, LCSW
• James Rudd Stevens
• Angela Dawn Stigall, LMT
• Kaitlin M Stroebele, PT, DPT
• Gary A Swanson, LCPC
• Leah Butler Taylor, MOTR/L, CLT
• Allan Sturgus Teel, MD
• Jarrod Tembreull, MD
• The Umbrella Agency
• Kristen Patricia Thibodeau, DPT

• Mechanotherapist in Damariscotta, ME
• Providers in Damariscotta, ME by specialty
• Mechanotherapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.