Active NPI
Michelle Cerminaro, PT
- Physical Therapist
- Norway, ME
National Provider Identifier
1831798610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 181 Main St
Norway, ME 04268-5664 - Phone
- (207) 744-6160
- NPI assigned
- Oct 22, 2020
- Last updated
- Nov 16, 2022
- 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 Therapist | 225100000X | ME | Primary |
Addresses
Primary practice location
181 Main St
Norway, ME 04268-5664
Mailing address
PO Box 333
Andover, ME 04216-0333
Phone (570) 204-6210
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT4709 | Other | ME | PT LICENSE |
| PT009184L | Other | PA | PT LICENSE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1831798610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 333",
"city": "ANDOVER",
"state": "ME",
"postal_code": "042160333",
"telephone_number": "570-204-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 MAIN ST",
"city": "NORWAY",
"state": "ME",
"postal_code": "042685664",
"telephone_number": "207-744-6160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERMINARO",
"first_name": "MICHELLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-22",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT4709",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT009184L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norway, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.