ANDREA M JOHNSON (NPI# 1104398015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104398015 |
| Entity Type | Individual |
| Full Name | ANDREA M JOHNSON |
| Credential | LMT |
| Practice Address |
27 Sandy Creek Rd Bridgton ME 04009-4134 |
| Mailing Address |
854 Stow Rd Stow ME 04037-3234 |
| Practice Telephone | 2072567149 |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT4770 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827991 | Andrea Marita Johnson | Counselor | 639 N Shea Rd, Scottsburg, IN 47170-8132 | 2020-09-24 |
| 1912461955 | Andrea Johnson | Registered Nurse | 764 Bayard Ave, Saint Paul, MN 55102-4102 | 2019-01-23 |
| 1881165868 | Andrea N Johnson | Behavior Technician | 1001 Buccaneer Dr Apt 1, Schaumburg, IL 60173-5213 | 2018-12-17 |
| 1962902957 | Andrea G Johnson | Occupational Therapy Assistant | 7919 N 9th St, Tacoma, WA 98406-1095 | 2018-02-15 |
| 1851891139 | Andrea Maya Johnson | Midwife | 13236 111th Ct Ne, Kirkland, WA 98034-5306 | 2018-02-13 |
| 1386158301 | Andrea Collier Johnson | Pharmacist | 5772 Jillian Way, Grand Prairie, TX 75052-0418 | 2017-11-29 |
| 1114478831 | Andrea Johnson | Specialist/Technologist | 500 South Navajo Dr, Page, AZ 86040 | 2016-10-18 |
| 1861866147 | Andrea Johnson | Licensed Practical Nurse | 21203 N Hart Pl, Detroit, MI 48220-2108 | 2015-11-24 |
| 1932581915 | Andrea Johnson | Behavioral Analyst | 3781 Carisbrook Dr, North Las Vegas, NV 89081-6631 | 2015-06-25 |
| 1811381759 | Andrea Johnson | Licensed Practical Nurse | 20110 109th Ave, Saint Albans, NY 11412-1308 | 2015-03-27 |
| Street Address |
27 SANDY CREEK RD |
| City | BRIDGTON |
| State | ME |
| Zip Code | 04009-4134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158477 | Kimberly R. Leighton | Specialist | 278 Middle Ridge Rd., Bridgton, ME 04009 | 2019-01-15 |
| 1316435407 | Caitlin D Ambo | Counselor | 32 No High Street, Bridgton, ME 04009 | 2018-04-25 |
| 1205215290 | Brianna J Meister | Counselor | 37 No High Street, Bridgton, ME 04009 | 2015-05-22 |
| 1013120898 | Maine Administrative School District No 61 | Local Education Agency (LEA) | 900 Bridgton Road, Bridgton, ME 04009 | 2007-05-08 |
| 1114051984 | R. Andrew Derstine | Counselor | 236a Portland Rd, Bridgton, ME 04009 | 2007-03-15 |
| 1184784878 | Good Neighbors, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Sandy Creek Rd, Bridgton, ME 04009 | 2006-12-11 |
| 1578593570 | Lake Region Physical Therapy Pa | Physical Therapist | 593 Harrison Rd, Bridgton, ME 04009 | 2006-07-04 |
| 1164783452 | Kevin Jenkins | Internal Medicine | 10 Hospital Dr, Bridgton, ME 04009 | 2012-06-03 |
| 1225343940 | George T Lee | Pharmacist | 19 Portland St, Bridgton, ME 04009 | 2010-08-18 |
| 1164611703 | Liane Muller, D.o., Pa | Clinic/Center | 63 Main St, Suite A, Bridgton, ME 04009 | 2007-10-19 |
| Find all providers in zip 04009 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821117441 | Maria L Brake | Massage Therapist | 300 Portland Rd, Bridgton, ME 04009-4227 | 2007-03-28 |
| 1326557190 | Julie Coffin | Massage Therapist | 82 Main St, Bridgton, ME 04009-1128 | 2017-09-25 |
| 1851722656 | Lorraine E Poirier | Massage Therapist | 316 Portland Rd, Bridgton, ME 04009-4247 | 2013-12-03 |
| 1548444847 | Robert Scott Phipps | Massage Therapist | 55 Main St, Bridgton, ME 04009-1117 | 2007-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992320279 | Carrie Lynne Farber | Massage Therapist | 304 Bates Street, Millinoket, ME 04462 | 2020-06-11 |
| 1265065916 | Patricia Corscaden | Massage Therapist | 61 Lewis Hill Rd, Newcastle, ME 04553-3921 | 2020-02-20 |
| 1093346199 | Alyson Kate Sylvester | Massage Therapist | 990 Minot Ave, Auburn, ME 04210-3719 | 2020-01-28 |
| 1457991630 | Holistic Health Dynamics LLC | Massage Therapist | 4 Fundy Rd Ste 103, Falmouth, ME 04105-1777 | 2020-01-15 |
| 1346880754 | Amanda Mae Thomes | Massage Therapist | 936 Roosevelt Trl Ste 2, Windham, ME 04062-5652 | 2020-01-14 |
| 1154968873 | Kristina Kokotovich | Massage Therapist | 27 State St Ste 30, Bangor, ME 04401-5141 | 2019-12-01 |
| 1790320273 | Lydia Rose Stilphen | Massage Therapist | 21 Stanwood St, Brunswick, ME 04011-2811 | 2019-11-08 |
| 1326682808 | Sarah Graham | Massage Therapist | 1 City Ctr Stop 1, Portland, ME 04101-4009 | 2019-10-29 |
| 1740823699 | Joyce Hauber | Massage Therapist | 30 Lagrange Rd, Howland, ME 04448-3743 | 2019-10-23 |
| 1558903443 | Olivia Rose Gorneau | Massage Therapist | 128 Second Street, Hallowell, ME 04347 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.