Kylie Tremble, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PA2625 Issued in ME

Practice address

85 Middle Rd
Cumberland, ME 04021-3707

Phone

(207) 829-8007

NPI assigned

Oct 5, 2015

Sex

Female

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

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1962872804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 MIDDLE RD",
            "city": "CUMBERLAND",
            "state": "ME",
            "postal_code": "040213707",
            "telephone_number": "207-829-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MIDDLE RD",
            "city": "CUMBERLAND",
            "state": "ME",
            "postal_code": "040213707",
            "telephone_number": "207-829-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMBLE",
        "first_name": "KYLIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "PA2625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly St. Onge, OTR/L
• Storeysmith Pediatric Clinic
• Denise Sullivan, OCCUPATIONAL THERAPI
• Marina K S Thompson, MS, OTR/L
• Town of Cumberland
• Amy Vonseggern, COTA/L
• Jean West
• Marilyn Brockway Whipple, CNS, APRN
• Jennifer A. Wiessner, LCSW
• Judith Wuorio, SLP

• All providers in Cumberland, ME
• Physical Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.