EMILY L PELLETIER (NPI# 1578991105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578991105 |
| Entity Type | Individual |
| Full Name | EMILY L PELLETIER |
| Credential | LATC |
| Practice Address |
110 E Main St Fort Kent ME 04743-1407 |
| Practice Telephone | 2078344117 |
| Practice Fax Number | 2078343829 |
| Mailing Telephone | 2078344117 |
| Mailing Fax Number | 2078343829 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT505 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700046265 | Emily J Pelletier | Speech-Language Pathologist | 2 Pillsbury St, Suite 404, Concord, NH 03301-3523 | 2008-06-09 |
| Street Address |
110 E MAIN ST |
| City | FORT KENT |
| State | ME |
| Zip Code | 04743-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013341445 | Derek Bonenfant | Physical Therapist | 110 E Main St, Fort Kent, ME 04743-1407 | 2013-08-21 |
| 1780938654 | Paul M Rucci | Specialist/Technologist | 110 E Main St, Fort Kent, ME 04743-1407 | 2012-10-31 |
| 1942303136 | Matthew Michaud | Physical Therapist | 110 E Main St, Fort Kent, ME 04743-1407 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483874 | Megan K Pelletier | Pharmacist | Address: 182 Market St Suite 2, Fort Kent, ME 04743 | 2020-09-30 |
| 1629344171 | Sherry Marie Stedt | Massage Therapist | 590 Caribou Rd, Fort Kent, ME 04743 | 2012-03-29 |
| 1215140181 | School Administrative District 27 | Student in an Organized Health Care Education/Training Program | 84 Pleasant Street, Suite 1, Fort Kent, ME 04743 | 2007-05-08 |
| 1578785846 | M.s.a.d.#27 | Student in an Organized Health Care Education/Training Program | 108 Pleasant Street, Fort Kent, ME 04743 | 2007-05-03 |
| 1598880122 | Kristy Jo Nadeau | Social Worker | 210 Market St., Fort Kent, ME 04743 | 2007-03-20 |
| 1619066297 | Paul W Tisher | Psychiatry & Neurology | 104 East Main Street, Fort Kent, ME 04743 | 2006-10-12 |
| 1326150467 | Paul Huges Mcbreairty | Obstetrics & Gynecology | 468 St John Rd, Fort Kent, ME 04743 | 2006-08-31 |
| 1356459739 | Louis J Paradis Inc | Pharmacy | 62 West Main Street, Suite 101, Fort Kent, ME 04743 | 2006-08-27 |
| 1023024585 | Richard Raymond | Dentist | 139 Market Street, Suite 107, Fort Kent, ME 04743 | 2006-08-01 |
| 1003898677 | Lisa M. Eno | Nurse Practitioner | 197 East Main Street, Suite 101, Fort Kent, ME 04743 | 2005-11-18 |
| Find all providers in zip 04743 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295100782 | Andrea Sulavik | Specialist/Technologist | 23 University Dr, Fort Kent, ME 04743-1248 | 2015-12-09 |
| 1992760060 | Sara Kay Michaud | Specialist/Technologist | 516 W Main St, Fort Kent, ME 04743-2121 | 2006-04-20 |
| 1780938654 | Paul M Rucci | Specialist/Technologist | 110 E Main St, Fort Kent, ME 04743-1407 | 2012-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958581 | Teresa Drag | Specialist/Technologist | 512 Paris Hill Rd, Paris, ME 04271 | 2020-10-01 |
| 1639784531 | Debra Lynn Gunn | Specialist/Technologist | 50 Church Rd, Holden, ME 04429-7152 | 2020-09-09 |
| 1639782550 | Madeleine Vivian Reid | Specialist/Technologist | 204 Maine Ave, Portland, ME 04103-3906 | 2020-08-29 |
| 1598377962 | Barbara Anne Cookson | Specialist/Technologist | 167 Wilson St, Brewer, ME 04412-2025 | 2020-08-18 |
| 1811533730 | Brianna Leslie Genthner | Specialist/Technologist | 389 Egypt Rd, Damariscotta, ME 04543-4306 | 2019-11-26 |
| 1376185785 | Mount Desert Island Ymca | Specialist/Technologist | 21 Park Street, Bar Harbor, ME 04609 | 2019-10-17 |
| 1043852981 | Diane Patricia Stone | Specialist/Technologist | 62 Turner St, Auburn, ME 04210-5953 | 2019-10-11 |
| 1326697145 | Karen Elizabeth Rendall | Specialist/Technologist | 120 Leach Hill Rd, Casco, ME 04015-3237 | 2019-09-04 |
| 1659929537 | Bronte Annette Fontaine | Specialist/Technologist | 7 Bickford Ave, Brunswick, ME 04011-3125 | 2019-09-03 |
| 1144889403 | Evan Mark Paradis | Specialist/Technologist | 100 Middle St Apt 1, Old Town, ME 04468-1480 | 2019-06-11 |
| 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.