MARIA L BRAKE (NPI# 1821117441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821117441 |
| Entity Type | Individual |
| Full Name | MARIA L BRAKE |
| Credential | LMT |
| Practice Address |
300 Portland Rd Bridgton ME 04009-4227 |
| Mailing Address |
17 Beechwood Ln Bridgton ME 04009-4209 |
| Practice Telephone | 2074085971 |
| Mailing Telephone | 2074085971 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2016-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT3306 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
300 PORTLAND RD |
| City | BRIDGTON |
| State | ME |
| Zip Code | 04009-4227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225446586 | Haroldson Health Services LLC | Chiropractor | 300 Portland Rd, Bridgton, ME 04009-4227 | 2014-07-30 |
| 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 |
|---|---|---|---|---|
| 1104398015 | Andrea M Johnson | Massage Therapist | 27 Sandy Creek Rd, Bridgton, ME 04009-4134 | 2018-12-18 |
| 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 | ||||
Please comment or provide details below to improve the information on MARIA L BRAKE.
| 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.