Healthcare Provider Details

I. General information

NPI: 1023342383
Provider Name (Legal Business Name): CELESTE A SARTOR MSPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2009
Last Update Date: 04/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 PLAZA DR. UNIT 6
SCARBOROUGH ME
04074
US

IV. Provider business mailing address

25 PLAZA DR. UNIT 6
SCARBOROUGH ME
04074
US

V. Phone/Fax

Practice location:
  • Phone: 207-289-1010
  • Fax: 207-289-1011
Mailing address:
  • Phone: 207-289-1010
  • Fax: 207-289-1011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1901
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code2251C2600X
TaxonomyCardiopulmonary Physical Therapist
License Number1901
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number1901
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: