| Nicole Ayotte, MPT | |
|
899 Central St, Millinocket, ME 04462-2125 | |
| (207) 723-7229 | |
| Not Available |
| Full Name | Nicole Ayotte |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 899 Central St, Millinocket, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548728967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | PT3079 (Maine) | Primary |
| Entity Name | Back In Motion Physical Therapy Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1821165960 PECOS PAC ID: 7416926704 Enrollment ID: O20041004000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Ayotte, MPT 899 Central St, Millinocket, ME 04462-2125 Ph: (207) 723-7229 | Nicole Ayotte, MPT 899 Central St, Millinocket, ME 04462-2125 Ph: (207) 723-7229 |
Patricia A Thibodeau, BSPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 899 Central St, Millinocket, ME 04462 Phone: 207-723-7229 | |
Ryan Michael Whitehouse, MPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 200 Somerset St, Millinocket, ME 04462 Phone: 207-723-5161 Fax: 207-723-3008 | |
Lanie A Daigle, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 899 Central St, Millinocket, ME 04462 Phone: 207-723-6450 Fax: 207-723-3008 |