NPIMap

Individual provider Active NPI

Toni Marie Cavanaugh, P.T,

  • Physical Therapist
  • Rockland, ME
National Provider Identifier
1972886547
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1142 Issued in ME
Practice address
170 Pleasant St
Kno Wal Lin
Rockland, ME 04841-2119
Phone
(207) 594-9561
NPI assigned
Sep 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1142 ME Primary

Addresses

Primary practice location

170 Pleasant St
Kno Wal Lin
Rockland, ME 04841-2119

Mailing address

170 Pleasant St
Kno Wal Lin
Rockland, ME 04841-2119
Phone (207) 594-9561

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT1142MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kno-Wal-Lin Help at Home, Inc. Past Accepting new patients
Mainehealth Care at Home Past Accepting new patients

Organizations & group practices 2

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": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1972886547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 PLEASANT ST",
            "address_2": "KNO WAL LIN",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412119",
            "telephone_number": "207-594-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 PLEASANT ST",
            "address_2": "KNO WAL LIN",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412119",
            "telephone_number": "207-594-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "TONI",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "P.T,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.