NORTH STAR PEDIATRIC THERAPY LLC NPI 1063225837

NPI Information

  • NPI: 1063225837
  • Provider Name: NORTH STAR PEDIATRIC THERAPY LLC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • :
  • Address: 552 MAIN ST
    CARIBOU, ME
    ZIP 04736
  • Phone: (207) 498-9507

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NPI Details

NORTH STAR PEDIATRIC THERAPY LLC is a rehabilitation clinic center in Caribou, ME. NORTH STAR PEDIATRIC THERAPY LLC NPI is 1063225837. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

552 MAIN ST
CARIBOU, ME
ZIP 04736-404
Phone: (207) 498-9507

The provider's authorized official is Rainald Gervais .
The authorized official title is Clinic Administrator and has the following contact phone number (207) 498-9507.

The enumeration date for this NPI number is 1/27/2025 and was last updated on 9/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2000XClinic/CenterPhysical TherapyNo
2261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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