PENOBSCOT BAY CHIROPRACTIC, LLC (NPI# 1821199787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821199787 |
| Entity Type | Organization |
| Organization Name | PENOBSCOT BAY CHIROPRACTIC, LLC |
| Practice Address |
1112 Commercial St Rockport ME 04856-3802 |
| Mailing Address |
Po Box 92 West Rockport ME 04865-0092 |
| Practice Telephone | 2075965523 |
| Practice Fax Number | 2075965655 |
| Mailing Telephone | 2075965523 |
| Mailing Fax Number | 2075965655 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2012-03-15 |
| Authorized Official Name | DR. SCOTT CHARLES SHERRY (PRESIDENT) |
| Authorized Official Telephone | 2075965523 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CR1062 | ME | Chiropractic Providers |
| Street Address |
1112 COMMERCIAL ST |
| City | ROCKPORT |
| State | ME |
| Zip Code | 04856-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881171585 | Lisa Manley | Physical Therapist | 6 Glen Cove Drive, Pbmc, Rockport, Me, ME 04856 | 2018-07-25 |
| 1871096834 | Brenda K Berry | Registered Nurse | 731 Commercial Street, Rockport, ME 04856 | 2018-03-15 |
| 1174908495 | Atlantic Behavior Services, Inc | Behavioral Analyst | 112 Union Street, Rockport, ME 04856 | 2015-07-28 |
| 1326451212 | Abigail Bernett Ryan | Clinical Neuropsychologist | 220 Union St, Rockport, ME 04856 | 2014-06-09 |
| 1790024438 | Michelle Gallant | Dental Hygienist | 37 Chickawaukie Pond Rd, Rockport, ME 04856 | 2013-01-31 |
| 1316221666 | Nancy K Alexander | Advanced Practice Midwife | 3 Glen Cove Dr Ste 1, Rockport, ME 04856 | 2011-10-05 |
| 1619283793 | Karen Canfield | Social Worker | 41 Forsest St, Rockport, ME 04856 | 2010-08-26 |
| 1518283530 | Kendra Emery | Family Medicine | 7 Madelyn Ln Ste 200, Rockport, ME 04856 | 2010-04-15 |
| 1598999369 | Patricia L. Kristiansen | Occupational Therapy Assistant | 6 Madelyn Lane, Rockport, ME 04856 | 2009-05-08 |
| 1801020797 | Tiffany Ann Darge | Dental Hygienist | 1060 Commercial St., Rockport, ME 04856 | 2009-05-07 |
| Find all providers in zip 04856 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629164199 | James Stanley Thorburn | Chiropractor | 110 Wishert Rd, Rockport, TX 78382-7649 | 2006-10-04 |
| 1386746352 | Stacy Lyles Hawkins | Chiropractor | 2011 Highway 35 N, Rockport, TX 78382-3302 | 2006-09-01 |
| 1154439925 | James Patrick Buckley | Chiropractor | 412 Commercial St, Rockport, ME 04856-4406 | 2006-08-29 |
| 1568442655 | Scott R Sovar | Chiropractor | 826 N State Road 161 Ste D, Rockport, IN 47635-9249 | 2006-01-17 |
| 1710989694 | Elizabeth Victoria Hackleman | Chiropractor | 2867 Highway 35 North, Rockport, TX 78382 | 2005-08-11 |
| 1518252758 | Elizabeth Hackleman D C Inc | Chiropractor | 2867 Highway 35 North, Rockport, TX 78382 | 2011-06-16 |
| 1356524557 | Rockport Family Chiropractic, P.a. | Chiropractor | 412 Commercial St, Rockport, ME 04856-4406 | 2007-12-11 |
| 1619090644 | Back In Motion, Ltd | Chiropractor | 2011 Highway 35 N, Rockport, TX 78382-3302 | 2007-04-06 |
| 1275638629 | Bradley Wayne Hawkins | Chiropractor | 2011 Highway 35 N, Rockport, TX 78382-3302 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664648 | Benjamin Allen Rogers | Chiropractor | 8 Hill Way Unit 10, Cape Elizabeth, ME 04107-2037 | 2020-09-22 |
| 1275154544 | Summit Chiropractic | Chiropractor | 720 Cedar Grove Rd, Dresden, ME 04342-3401 | 2020-04-28 |
| 1700419751 | Family Wellness Chiropractic Inc. | Chiropractor | 8 Morgan Ln, Windham, ME 04062-4069 | 2020-02-18 |
| 1912546128 | Kristen Leigh Moody | Chiropractor | 500 Us Route 1 Ste 104, Yarmouth, ME 04096-6817 | 2020-01-06 |
| 1174096309 | Vanidestine Chiropractic, Inc | Chiropractor | 336 Mount Hope Ave Ste 11, Bangor, ME 04401-4236 | 2019-01-10 |
| 1659861466 | Ruth Lynette Varney | Chiropractor | 1071 Auburn Rd Ste F, Turner, ME 04282-4157 | 2018-05-16 |
| 1699264143 | My Life Well Adjusted LLC | Chiropractor | 268 State St Ste 1, Bangor, ME 04401-5417 | 2018-05-09 |
| 1053808345 | Tyler Kuntz | Chiropractor | 21 Daigle Ln Ste 103, Sanford, ME 04073-3939 | 2018-04-23 |
| 1326551888 | Casey Hope Lapierre | Chiropractor | 21 Daigle Lane, Sanford, ME 04073 | 2017-11-07 |
| 1588174023 | Rebecca Brouillette | Chiropractor | 57 Jefferson St, Biddeford, ME 04005-2540 | 2017-10-11 |
| 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.