OSTEOPATHIC WELLNESS LLC (NPI# 1205155611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205155611 |
| Entity Type | Organization |
| Organization Name | OSTEOPATHIC WELLNESS LLC |
| Practice Address |
94 Auburn St Suite 106 Portland ME 04103-2141 |
| Practice Telephone | 2076156956 |
| Practice Fax Number | 2078502228 |
| Mailing Telephone | 2076156956 |
| Mailing Fax Number | 2078502228 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2016-01-26 |
| Authorized Official Name | DR. SHAWN MARIE HIGGINS (PHYSICIAN) |
| Authorized Official Telephone | 2076156956 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | DO2056 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
94 AUBURN ST SUITE 106 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205805967 | Guy Robert Audet | Physical Therapy Assistant | 94 Auburn St, Suite 3, Portland, ME 04103 | 2006-03-15 |
| 1689073538 | Kimberley Brewster | Registered Nurse | 94 Auburn St, Suite 205, Portland, ME 04103-2141 | 2014-08-16 |
| 1134530066 | Noble Home Health Care, Inc. | Home Health | 94 Auburn St, Suite 205, Portland, ME 04103-2141 | 2014-05-13 |
| 1255764817 | Connor J Simpson | Physical Therapist | 94 Auburn St, Suite 103, Portland, ME 04103-2141 | 2013-08-18 |
| 1851543177 | Port City Physical Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 94 Auburn St, Ste 3, Portland, ME 04103-2141 | 2008-10-17 |
| 1023147733 | Michael L Buzzell | Contractor | 94 Auburn St, Portland, ME 04103-2141 | 2007-03-06 |
| 1841381290 | Port City Physical Therapy Limited | Physical Therapist | 94 Auburn St, Suite 3, Portland, ME 04103-2141 | 2006-09-28 |
| 1306953450 | Shawn M Higgins | Neuromusculoskeletal Medicine & OMM | 94 Auburn St, Suite 106, Portland, ME 04103-2141 | 2006-08-24 |
| 1033166939 | Wendy A Richards | Physical Therapist | 94 Auburn St, Suite 3, Portland, ME 04103-2141 | 2006-05-27 |
| 1740248996 | Port City Physical Therapy | Specialist/Technologist | 94 Auburn St, Suite 103 Port City Physical Therapy, Portland, ME 04106 | 2006-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720614449 | Keith Turner Slicho, Do, PC | Neuromusculoskeletal Medicine & OMM | 700 Ne Multnomah St Ste 330, Portland, OR 97232-4103 | 2020-03-13 |
| 1417428848 | David D Keller Do PC | Neuromusculoskeletal Medicine & OMM | 195 Fore River Pkwy Ste 470, Portland, ME 04102-2787 | 2018-12-11 |
| 1548402811 | Juliette Sophie Preston | Neuromusculoskeletal Medicine & OMM | 3303 Sw Bond Ave Fl 8, Portland, OR 97239-4501 | 2009-04-01 |
| 1891871455 | Gregory John Esmer | Neuromusculoskeletal Medicine & OMM | 4039 N Mississippi Ave Ste 203, Portland, OR 97227-1477 | 2006-10-27 |
| 1275622318 | William James Bernstein | Neuromusculoskeletal Medicine & OMM | 3710 Us Veterans Hosp Rd # 417, Portland Vamc, Portland, OR 97239 | 2006-10-12 |
| 1023103934 | James L Cook | Neuromusculoskeletal Medicine & OMM | 2814 Se Steele St # 7, Portland, OR 97202-4525 | 2006-10-04 |
| 1497768964 | Yuri Hiranuma | Neuromusculoskeletal Medicine & OMM | 1312 E Burnside St, Portland, OR 97214-1424 | 2006-08-14 |
| 1871539247 | Alicia Smilowicz | Neuromusculoskeletal Medicine & OMM | 466 Ocean Ave, 1st Floor, Portland, ME 04103-5718 | 2006-06-22 |
| 1043254378 | Keith W Kale | Neuromusculoskeletal Medicine & OMM | 10748 Ne Halsey St, Portland, OR 97220-3961 | 2006-06-16 |
| 1043257561 | Adi Michelle Philpott | Neuromusculoskeletal Medicine & OMM | 37 Leonard St, Portland, ME 04103-2512 | 2006-06-01 |
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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.