Kevin Michael Beauchemin
Individual provider Active NPI Physical Therapy Assistant · Saco, ME
NPI 1992442735 · NPPES record last updated May 13, 2022
Key facts
- NPI
- 1992442735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PA6166 (ME)
- Practice address
- 895 Portland Rd
Saco, ME 04072-9673 - Phone
- (207) 439-5104
- NPI assigned
- May 13, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA6166 | ME | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PA6166 | ME | Yes |
Addresses
Primary practice location
895 Portland Rd
Saco, ME 04072-9673
Mailing address
895 Portland Rd
Saco, ME 04072-9673
Phone (207) 439-5104
Other providers in Saco, ME
- Kristen L Barbee
- Caitlin Baringer-Palmer
- Deanna C Barry
- Bruce P Bates
- Jill Howard Beals
- Jane E Beaudoin
- Kathleen Beliveau
- Reuben P Bell
- David W. Benham
- Joseph Bennett
All providers in Saco, ME · Physical Therapy Assistant in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.