MEDICARE: MARTIN R LANGAAS PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT2598	ME
2	225100000X	Physical Therapist	8285	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	022051	OTHER	ME	BC/BS OF MAINE
2	08Y005244ME01	OTHER	ME	BC/BS OF NH

General Provider Information

NPI Number	:	1386644110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTIN R LANGAAS PT

Provider Business Mailing Address
First Line	:	7 PINE RIDGE LOOP RD
Second Line	:
City	:	YORK
State	:	ME
Zip	:	03909-5124
Country	:	US
Telephone Number	:	207-752-4023
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 PINE RIDGE LOOP RD
Second Line	:
City	:	YORK
State	:	ME
Zip	:	03909-5124
Country	:	US
Telephone Number	:	207-752-4023
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	12/07/2015

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Directions to “ MARTIN R LANGAAS PT” Practice Location

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