Kenneth Ingalls Iii, DPT | |
11 Main Rd N, Hampden, ME 04444 | |
(207) 862-3906 | |
(207) 862-2892 |
Full Name | Kenneth Ingalls Iii |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 11 Main Rd N, Hampden, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669922258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT4704 (Maine) | Primary |
Provider Name | Ube Physical Therapy And Performance Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1508226119 PECOS PAC ID: 5698064798 Enrollment ID: O20160512001536 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Ingalls Iii, DPT P.o. Box 227, Hampden, ME 04444-0227 Ph: (207) 862-3906 | Kenneth Ingalls Iii, DPT 11 Main Rd N, Hampden, ME 04444 Ph: (207) 862-3906 |
Payson W Nichols, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11 Main Rd N, Hampden, ME 04444 Phone: 207-862-3906 | |
Ashley Gagnon, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11 Main Rd North, Hampden, ME 04444 Phone: 207-862-3906 Fax: 207-862-2892 | |
Ellen Groleau, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 177 Coldbrook Rd, Hampden, ME 04444 Phone: 207-862-2227 Fax: 207-862-2252 | |
Michael P Tardif, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11 Main Rd North, Hampden, ME 04444 Phone: 207-974-6479 | |
Melanie Armstrong, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8 Main Rd S, Hampden, ME 04444 Phone: 207-441-3760 Fax: 207-441-3760 | |
Mr. Dana Paul Tardif, P.T. ; LMT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11 Main Road North, Hampden, ME 04444 Phone: 207-862-3906 Fax: 207-862-2892 | |
Lisa M Mulready, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 177 Coldbrook Rd, Hampden, ME 04444 Phone: 207-862-2088 Fax: 207-862-2262 |