Active NPI
Jessica Lynn Hart McCannell
- Physical Therapist
- Bangor, ME
National Provider Identifier
1972395515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT7147
- Practice address
- 82 Sylvan Rd
Bangor, ME 04401-4221 - Phone
- (207) 401-4324
- Fax
- (207) 401-4325
- NPI assigned
- May 20, 2025
- Sex
- Unspecified or another gender identity
- 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 | PT7147 | ME | Primary |
Addresses
Primary practice location
82 Sylvan Rd
Bangor, ME 04401-4221
Mailing address
82 Sylvan Rd
Bangor, ME 04401-4221
Phone (207) 401-4324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250602001682 | ME | Practitioner - Physical Therapist in Private Practice | 0446769442 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County Physical Therapy LLC
Practice addresses (Care Compare)
82 Sylvan Rd
Bangor, ME 04401-4221
Phone (207) 401-4324
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
82 Sylvan Rd
Bangor, ME 04401
Phone (207) 401-4324
118 Bennett Dr
Ste 140
Caribou, ME 04736
Phone (207) 498-6334
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1972395515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 SYLVAN RD",
"city": "BANGOR",
"state": "ME",
"postal_code": "044014221",
"telephone_number": "207-401-4324",
"fax_number": "207-401-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 SYLVAN RD",
"city": "BANGOR",
"state": "ME",
"postal_code": "044014221",
"telephone_number": "207-401-4324",
"fax_number": "207-401-4325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCANNELL",
"first_name": "JESSICA",
"middle_name": "LYNN HART",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-05-20",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT7147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.