Regan Lauren Nelson, PT, DPT | |
482 Stillwater Ave, Old Town, ME 04468-2190 | |
(207) 881-5012 | |
(866) 394-9809 |
Full Name | Regan Lauren Nelson |
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Gender | Female |
Speciality | Physical Therapist |
Location | 482 Stillwater Ave, Old Town, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629832159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT6723 (Maine) | Primary |
Provider Name | Back In Motion Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821165960 PECOS PAC ID: 7416926704 Enrollment ID: O20041004000108 |
Mailing Address | Practice Location Address |
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Regan Lauren Nelson, PT, DPT 625 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-2395 Ph: () - | Regan Lauren Nelson, PT, DPT 482 Stillwater Ave, Old Town, ME 04468-2190 Ph: (207) 881-5012 |
Amy St. Peter, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 601 Stillwater Ave, Old Town, ME 04468 Phone: 207-817-0214 | |
Samantha White, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 482 Stillwater Ave, Old Town, ME 04468 Phone: 207-881-5012 | |
Dr. Jessica M Speed, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Billie Joe Ct, Old Town, ME 04468 Phone: 207-447-0974 | |
Kyle Deliberty, DPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 601 Stillwater Ave Ste 5, Old Town, ME 04468 Phone: 207-817-0214 | |
Jacob Ketch, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 482 Stillwater Ave, Old Town, ME 04468 Phone: 207-881-5012 | |
Margaret A. Capehart, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 274 Main St, Old Town, ME 04468 Phone: 207-827-5461 Fax: 207-827-1358 |