Provider Demographics
NPI:1528393238
Name:SMARTWORKS INC
Entity Type:Organization
Organization Name:SMARTWORKS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:ST JEAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:207-897-3102
Mailing Address - Street 1:152 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JAY
Mailing Address - State:ME
Mailing Address - Zip Code:04239-1507
Mailing Address - Country:US
Mailing Address - Phone:207-897-3102
Mailing Address - Fax:
Practice Address - Street 1:152 MAIN ST
Practice Address - Street 2:
Practice Address - City:JAY
Practice Address - State:ME
Practice Address - Zip Code:04239-1507
Practice Address - Country:US
Practice Address - Phone:207-897-3102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT1492225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME030481OtherANTHEM
ME2233800OtherAETNA
ME699511OtherADVANTRA FREEDOM
MEM22455OtherHEALTHSOURCE
MEMN2353OtherHARVARD PILGRIM
ME130310000Medicaid
ME6404205OtherUNITED HEALTH CARE
ME7316815OtherCIGNA
MEMM6304Medicare PIN