JESSE JANDREAU (NPI# 1811310485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811310485 |
| Entity Type | Individual |
| Full Name | JESSE JANDREAU |
| Credential | PT, DPT |
| Practice Address |
78 Ridgewood Dr Bangor ME 04401 |
| Mailing Address |
277 State St Ste 1b Bangor ME 04401-5440 |
| Practice Telephone | 2079478381 |
| Mailing Telephone | 2079224000 |
| Enumeration Date | 2014-02-01 |
| Last Update Date | 2018-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT4152 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 1239309 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25 Dallas Hill Road, Rangeley, ME 04970 | 2078643332 | 2078649224 |
| 277 State St Ste 1b, Bangor, ME 044015440 | 2079224000 |
| Street Address |
78 RIDGEWOOD DR |
| City | BANGOR |
| State | ME |
| Zip Code | 04401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153293 | P. Gregory Askins | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2005-06-09 |
| 1679913792 | Karis Ann Filteau | Physician Assistant | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2013-07-03 |
| 1417240508 | Joshua Vaughn | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401 | 2011-05-23 |
| 1942509161 | Antonios Tsismenakis | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2011-03-28 |
| 1962714246 | Claire Costanza | Physician Assistant | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2010-07-02 |
| 1942537402 | Carolyn Pollard Savage | Physician Assistant | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2009-11-04 |
| 1720244262 | Jacob David Brooks | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2008-08-04 |
| 1083824106 | Cameron Lee Trubey | Family Medicine | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2007-05-24 |
| 1962627927 | Peter Alex Green | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2007-04-16 |
| 1922191865 | Penobscot Community Health Center | Family Medicine | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699279661 | Reynold Joseph Dubois | Physical Therapist | 85 Hudson Rd, Bangor, ME 04401-2010 | 2018-03-22 |
| 1194258749 | Alexander Kagan | Physical Therapist | 1348 Kenduskeag Ave, Bangor, ME 04401-2427 | 2017-04-10 |
| 1487969838 | Dennis Mullins | Physical Therapist | 37 Pond St, Bangor, ME 04401-4641 | 2010-08-10 |
| 1255508347 | Susan B Bina | Physical Therapist | 193 Benns Hill Rd, Bangor, PA 18013-9428 | 2008-05-08 |
| 1790801421 | Stephanie L Laprino | Physical Therapist | 34 Gilman Rd, Bangor, ME 04401-3516 | 2007-03-22 |
| 1558445098 | Philip R Pouzol | Physical Therapist | 33b Penn Plz, Bangor, ME 04401-3619 | 2006-10-24 |
| 1598849044 | Jill L Overlock | Physical Therapist | 33 Penn Plz # B, Bangor, ME 04401-3619 | 2006-10-24 |
| 1982790945 | Pouzol Physical Therapy, Pa | Physical Therapist | 33 Penn Plaza, Suite B, Bangor, ME 04401 | 2006-10-05 |
| 1144313081 | Pchc Physical Therapy and Balance Center | Physical Therapist | 30 Summer St, Bangor, ME 04401-6467 | 2006-10-02 |
| 1447358247 | Christen Leigh Gordon | Physical Therapist | 16 State St, Bangor, ME 04401-5104 | 2006-09-20 |
| Find all providers in BANGOR | ||||
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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.