KATHERINE MICHELSEN (NPI# 1770013880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770013880 |
| Entity Type | Individual |
| Full Name | KATHERINE MICHELSEN |
| Credential | DO |
| Practice Address |
149 North St Waterville ME 04901-4974 |
| Practice Telephone | (207) 872-4303 |
| Practice Fax Number | 2078724294 |
| Mailing Telephone | 2078724303 |
| Mailing Fax Number | 2078724294 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT4860 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
149 NORTH ST |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-4974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083691869 | Robin M Wood | Nuclear Medicine | 149 North St, Waterville, ME 04901-4974 | 2005-12-22 |
| 1588289961 | Kellee Gorgone | Nurse Practitioner | 149 North St, Waterville, ME 04901-4974 | 2020-06-11 |
| 1962027656 | Thomas Pentzer | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2020-06-09 |
| 1437774122 | Anita Nwanna-nzewunwa | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2020-06-09 |
| 1487279162 | Jesse Leeds | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2020-06-09 |
| 1093366239 | Danielle Rice | Nurse Practitioner | 149 North St, Waterville, ME 04901-4974 | 2019-09-27 |
| 1528627080 | Lisa Smith | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2019-06-10 |
| 1215596762 | Rose Knudsen | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2019-06-09 |
| 1053970509 | Lara Householder | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2019-06-09 |
| 1033694807 | Elizabeth Harwood | Nurse Practitioner | 149 North St, Waterville, ME 04901-4974 | 2018-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
| Find all providers in zip 04901 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881171585 | Lisa Manley | Physical Therapist | 6 Glen Cove Drive, Pbmc, Rockport, Me, ME 04856 | 2018-07-25 |
| 1457773301 | Kelly Fritz | Physical Therapist | 126 Main St Ste 3, Topsham, ME 04086 | 2014-01-13 |
| 1629409529 | Rebecca Brewster-taylor | Physical Therapist | 321 Lewiston Rd, Topsham, ME 04086-6185 | 2013-12-03 |
| 1811274715 | Jaimie Victoria Choiniere | Physical Therapist | 309 N Auburn Rd, Auburn, ME 04210-8745 | 2011-11-07 |
| 1295045482 | Elizabeth S. Oppewall | Physical Therapist | 29 Ridge Acres Ln, Southwest Harbor, ME 04679-4239 | 2010-10-21 |
| 1407166788 | Kate Benson | Physical Therapist | 84110 Farwell Street, Lewiston, ME 04240 | 2010-10-20 |
| 1144537309 | Wendy Boyd Rich | Physical Therapist | 145 Kalers Corner St, Waldoboro, ME 04572-6001 | 2010-09-09 |
| 1609043512 | Linda Wilson | Physical Therapist | 266 Town Farm Rd, Sidney, ME 04330-2452 | 2008-05-09 |
| 1417155615 | Amy L. Trzaska | Physical Therapist | 198 Spurwink Rd, Scarborough, ME 04074-8602 | 2007-07-10 |
| 1003011461 | Karen Gage Bensley | Physical Therapist | 15 Elizabeth Ln, Kittery Point, ME 03905-5602 | 2007-06-18 |
| Find all providers with the same taxonomy | ||||
| City | WATERVILLE |
| Zip Code | 04901 |
Please comment or provide details below to improve the information on KATHERINE MICHELSEN.
| 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.