BRADLEY LIBBY (NPI# 1932533262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932533262 |
| Entity Type | Individual |
| Full Name | BRADLEY LIBBY |
| Credential | DPT |
| Practice Address |
797 Wilson St Brewer ME 04412-1000 |
| Practice Telephone | 2079924042 |
| Practice Fax Number | 2079924043 |
| Mailing Telephone | 2079924042 |
| Mailing Fax Number | 2079924043 |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT4035 | ME | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | PHYSICAL THERAPY LICENCE | PT4035 | 01 |
| Street Address |
797 WILSON ST |
| City | BREWER |
| State | ME |
| Zip Code | 04412-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609921154 | Katie Olson Hilo | Physical Therapist | 797 Wilson St, Brewer, ME 04412-1000 | 2007-01-24 |
| 1215549407 | Auburn Bogart-palmisano | Physical Therapist | 797 Wilson St, Brewer, ME 04412-1000 | 2020-08-19 |
| 1023592714 | Jennifer Marie Holesha | Social Worker | 797 Wilson St, Brewer, ME 04412 | 2018-09-19 |
| 1720535396 | Brigitte Pratt | Physical Therapy Assistant | 797 Wilson St, Brewer, ME 04412 | 2016-09-01 |
| 1023484862 | Jennifer Griffith | Physical Therapy Assistant | 797 Wilson St, Brewer, ME 04412-1000 | 2015-08-17 |
| 1922493808 | Margaret Butterly | Physical Therapist | 797 Wilson St, Brewer, ME 04412-1000 | 2015-03-30 |
| 1720478720 | Jenna Dubord | Physical Therapy Assistant | 797 Wilson St, Brewer, ME 04412-1000 | 2015-01-28 |
| 1164831822 | Kristen Lepage | Physical Therapist | 797 Wilson St, Brewer, ME 04412-1000 | 2014-08-07 |
| 1578985248 | Joshua Glidden | Specialist | 797 Wilson St, Brewer, ME 04412-1000 | 2014-01-14 |
| 1871837054 | Cory Ouellette | Physical Therapist | 797 Wilson St, Brewer, ME 04412-1000 | 2012-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205326899 | Kolby Arnold | Physical Therapist | 277 State St., Brewer, ME 04412 | 2018-05-18 |
| 1215434477 | Kelley Anne Hill | Counselor | 17 Houston Lane, Brewer, ME 04412 | 2018-04-12 |
| 1497250740 | Northeast Dental Partners, Pa | Dentist | 24 Dirigo Drive, Brewer, ME 04412 | 2018-03-28 |
| 1821549445 | Jenelle Hazzard | Nurse Practitioner | 735 Wilson St., Brewer, ME 04412 | 2016-10-19 |
| 1154877520 | Gentle Hands Home Care | Home Health | 153 State St Suite 5, Brewer, ME 04412 | 2016-08-26 |
| 1932459708 | Danielle M Kissinger | Physical Medicine & Rehabilitation | 227 State St, Brewer, ME 04412 | 2012-09-19 |
| 1750658738 | Todd James Hachey | Pharmacist | 437 Wilson St., Walgreens 11545, Brewer, ME 04412 | 2011-11-19 |
| 1407154107 | Judy Anderson | Speech-Language Pathologist | 79 Parkway South, Pupil Services Office, Brewer, ME 04412 | 2011-03-03 |
| 1487898508 | Elizabeth A Morse | Technician/Technologist | 272 State Street, Optical Outlet, LLC, Brewer, ME 04412 | 2009-04-21 |
| 1396902359 | Mindy J Smith | Occupational Therapy Assistant | 74 Parkway South, Brewer, ME 04412 | 2008-05-19 |
| Find all providers in zip 04412 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578985248 | Joshua Glidden | Specialist | 797 Wilson St, Brewer, ME 04412-1000 | 2014-01-14 |
| 1326286576 | Benjamin B Liliav | Specialist | 43 Whiting Hill Rd Ste 300, Suite 300, Brewer, ME 04412-1006 | 2009-01-27 |
| 1952500092 | New Health P A | Specialist | 40 Chapman St, Brewer, ME 04412-1810 | 2007-07-17 |
| 1174657837 | Cathy A. Hatch | Specialist | 451 S Main St, Brewer, ME 04412-2326 | 2007-03-15 |
| 1629034699 | Susan E O'connor | Specialist | 33 Whiting Hill Rd, Suite 33, Brewer, ME 04412-1021 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158477 | Kimberly R. Leighton | Specialist | 278 Middle Ridge Rd., Bridgton, ME 04009 | 2019-01-15 |
| 1649715905 | Rose S Mellino | Specialist | 234 Northeast Rd, Standish, ME 04084-6495 | 2016-12-22 |
| 1013468248 | Angela Jackson | Specialist | 110 E St, Pittsfield, ME 04967-5106 | 2016-10-24 |
| 1215488416 | Jason Phelps | Specialist | 4 Independence Ave, Hampden, ME 04444-1300 | 2016-10-23 |
| 1104371772 | Tatsiana Fields | Specialist | 158 Old County Rd, Etna, ME 04434-3814 | 2016-08-23 |
| 1659730810 | Suzanne Greenlee | Specialist | 15 Jeannette Ave, Old Orchard Beach, ME 04064-1407 | 2016-02-16 |
| 1558746032 | Seth Trahan | Specialist | 12 Vine St, Bangor, ME 04401-6029 | 2015-07-24 |
| 1366824823 | Kimberly Dorval | Specialist | 16 Chadwick Street, Winslow, ME 04901 | 2015-06-22 |
| 1861890402 | Monica Thompson | Specialist | 110 Granite St Apt 20, Biddeford, ME 04005-3668 | 2014-12-14 |
| 1679971758 | Employment Happens | Specialist | 9 Pamela Dr, Winthrop, ME 04364 | 2014-12-05 |
| 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.