Healthcare Provider Details

I. General information

NPI: 1609976075
Provider Name (Legal Business Name): CHAD I HOWLAND PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 GRAHAM AVE S
BANGOR ME
04401-5879
US

IV. Provider business mailing address

62 GRAHAM AVE S
BANGOR ME
04401-5879
US

V. Phone/Fax

Practice location:
  • Phone: 207-249-6621
  • Fax: 207-512-1254
Mailing address:
  • Phone: 207-249-6621
  • Fax: 207-512-1254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT4337
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number040-0003692
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: