Provider Demographics
NPI:1831999150
Name:BAXTER OCCUPATIONAL AND PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:BAXTER OCCUPATIONAL AND PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBEY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:479-739-8703
Mailing Address - Street 1:70 SAINT PIERRE DR
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:ME
Mailing Address - Zip Code:04330-2751
Mailing Address - Country:US
Mailing Address - Phone:147-973-9870
Mailing Address - Fax:
Practice Address - Street 1:70 SAINT PIERRE DR
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:ME
Practice Address - Zip Code:04330-2751
Practice Address - Country:US
Practice Address - Phone:147-973-9870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty