| Jade Trade Inc. | |
|
1023 Washington Ave, Portland, ME 04103-2793 | |
| (207) 773-5778 | |
| (207) 773-5773 |
| Full Name | Jade Trade Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1023 Washington Ave, Portland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578753836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | AC200 (Maine) | Secondary |
| 225700000X | Massage Therapist | MT1458 (Maine) | Secondary |
| 225100000X | Physical Therapist | PT2432 (* (Not Available)) | Primary |
| Provider Name | Jennifer K Major |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790977908 PECOS PAC ID: 2567558786 Enrollment ID: I20071019000247 |
| Provider Name | Nancy P Charlebois |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407881584 PECOS PAC ID: 9032206453 Enrollment ID: I20071101000514 |
| Provider Name | Melissa L Belcher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982637526 PECOS PAC ID: 3870758543 Enrollment ID: I20120702000190 |
| Provider Name | Michelle S Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376727909 PECOS PAC ID: 6406080274 Enrollment ID: I20131010000022 |
| Provider Name | Marie Boneparth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578778924 PECOS PAC ID: 5193010072 Enrollment ID: I20160817002474 |
| Provider Name | Grace E Bedard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497265219 PECOS PAC ID: 8729342969 Enrollment ID: I20180516000126 |
| Provider Name | Samantha Bowdenwood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053805689 PECOS PAC ID: 6800147448 Enrollment ID: I20180921000128 |
| Provider Name | Angela Lee Depaola |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396239695 PECOS PAC ID: 2365788619 Enrollment ID: I20191024002709 |
| Provider Name | Samar Yunis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023233699 PECOS PAC ID: 4082899877 Enrollment ID: I20250528000084 |
| Mailing Address | Practice Location Address |
|---|---|
| Jade Trade Inc. 1023 Washington Ave, Portland, ME 04103-2793 Ph: (207) 773-5778 | Jade Trade Inc. 1023 Washington Ave, Portland, ME 04103-2793 Ph: (207) 773-5778 |