Kaicey Conant, DPT
Individual provider Active NPI Physical Therapist · Canton, ME
NPI 1902599673 · NPPES record last updated May 30, 2023
Key facts
- NPI
- 1902599673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT6520 (ME)
- Practice address
- 129 Pinewoods Rd
Canton, ME 04221-3202 - Phone
- (207) 320-1009
- NPI assigned
- May 30, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Smartcare Inc
Practice addresses (Care Compare)
94 Weld St
Dixfield, ME 04224-9207
Phone (207) 562-8048
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230803002055 | ME | Practitioner - Physical Therapist in Private Practice | 6800257049 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6520 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rumford Hospital | Current |
Accepting new patients | |
| Rumford Hospital | Current |
Accepting new patients | |
| Smartcare Inc | Physical Therapist | Current |
Accepting new patients |
| Lauren Hebert, PT,SC | Physical Therapist | Past |
Accepting new patients |
Locations
420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6520 | ME | Yes |
Addresses
Primary practice location
129 Pinewoods Rd
Canton, ME 04221-3202
Mailing address
129 Pinewoods Rd
Canton, ME 04221-3202
Phone (207) 320-1009
Other providers in Canton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.