Provider Demographics
NPI:1467546093
Name:ADAMS, AMBER RAE (MSPT)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:RAE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:RAE
Other - Last Name:TOBEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:PO BOX 453
Mailing Address - Street 2:
Mailing Address - City:GARDINER
Mailing Address - State:ME
Mailing Address - Zip Code:04345-0453
Mailing Address - Country:US
Mailing Address - Phone:207-582-5100
Mailing Address - Fax:207-582-5100
Practice Address - Street 1:226 WATER ST
Practice Address - Street 2:
Practice Address - City:GARDINER
Practice Address - State:ME
Practice Address - Zip Code:04345-2110
Practice Address - Country:US
Practice Address - Phone:207-582-5100
Practice Address - Fax:207-582-5100
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT2940225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1223916OtherAETNA HMO
ME431250099Medicaid
ME7946823OtherAETNA NON HMO & PPO
ME100200OtherANTHEM