| Magnolia Outpatient Physical Therapy Services, Llc | |
|
24 Martin Ln, Belfast, ME 04915-6099 | |
| (207) 930-7037 | |
| Not Available |
| Full Name | Magnolia Outpatient Physical Therapy Services, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 24 Martin Ln, Belfast, Maine |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851083919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Marie-france M Browning |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730504424 PECOS PAC ID: 2062634462 Enrollment ID: I20141120000622 |
| Provider Name | Elizabeth V Durham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346367349 PECOS PAC ID: 1759796154 Enrollment ID: I20210219000756 |
| Provider Name | Kristen Lee Amidon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629796958 PECOS PAC ID: 4284010190 Enrollment ID: I20220929003168 |
| Provider Name | Tiffany Haas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558140939 PECOS PAC ID: 0840645602 Enrollment ID: I20231013001913 |
| Provider Name | Amy E Fernald |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922887231 PECOS PAC ID: 5294181806 Enrollment ID: I20231101003656 |
| Provider Name | Tracy D Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801675079 PECOS PAC ID: 9739535345 Enrollment ID: I20231101003671 |
| Provider Name | Christina W Kelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740237494 PECOS PAC ID: 8527079789 Enrollment ID: I20231113001569 |
| Provider Name | Bernard Alexis H Carpio |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679352868 PECOS PAC ID: 4981051851 Enrollment ID: I20231114003593 |
| Provider Name | Michael A York |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1013371145 PECOS PAC ID: 3678922481 Enrollment ID: I20231205003055 |
| Provider Name | Sunny Rae Bolduc |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457910556 PECOS PAC ID: 6406822782 Enrollment ID: I20240710002832 |
| Provider Name | Veronica Wallace-ewing |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104462639 PECOS PAC ID: 5294255279 Enrollment ID: I20250220002184 |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Outpatient Physical Therapy Services, Llc 24 Martin Ln, Belfast, ME 04915-6099 Ph: (214) 828-6146 | Magnolia Outpatient Physical Therapy Services, Llc 24 Martin Ln, Belfast, ME 04915-6099 Ph: (207) 930-7037 |
Ms. Diane Palmer Bergey, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 171 High St, Belfast, ME 04915 Phone: 207-592-0191 | |
Rachel Nolin Adler, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Northport Ave, Belfast, ME 04915 Phone: 207-505-4186 | |
Ashlee Hamann, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Northport Ave, Belfast, ME 04915 Phone: 207-505-7273 | |
Vicky Terpoorten, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6a Lions Way, Belfast, ME 04915 Phone: 207-338-1960 | |
Sunny Rae Bolduc, OT/L, CLT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 118 Northport Ave, Belfast, ME 04915 Phone: 207-505-4727 | |
Lauren Curry, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Northport Ave, Belfast, ME 04915 Phone: 207-505-4753 | |
Ms. Alexandra Priscilla Chaplin, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Footbridge Rd, Belfast, ME 04915 Phone: 207-338-5307 |