Provider Demographics
NPI:1962503862
Name:COVEY, ANN MARIE (PT)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:COVEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2263 ROUTE 2
Mailing Address - Street 2:
Mailing Address - City:HERMON
Mailing Address - State:ME
Mailing Address - Zip Code:04401-0605
Mailing Address - Country:US
Mailing Address - Phone:207-848-9009
Mailing Address - Fax:207-404-2562
Practice Address - Street 1:800 KENNEBEC RD
Practice Address - Street 2:
Practice Address - City:HAMPDEN
Practice Address - State:ME
Practice Address - Zip Code:04444-3113
Practice Address - Country:US
Practice Address - Phone:207-862-6763
Practice Address - Fax:207-862-2419
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2017-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT1792225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1179330OtherCIGNA
ME100189OtherANTHEM
ME432204300OtherMAINECARE
MEAA108390OtherHARVARD PILGRIM
ME7509585OtherAETNA
MECO ME 0254OtherMEDICARE