MEDICARE: MADISYN CHAREST

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	6614	ME

General Provider Information

NPI Number	:	1750169421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISYN CHAREST

Provider Business Mailing Address
First Line	:	277B CROWLEY RD
Second Line	:
City	:	SABATTUS
State	:	ME
Zip	:	04280-4677
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	730 CENTER ST STE 9
Second Line	:
City	:	AUBURN
State	:	ME
Zip	:	04210-6316
Country	:	US
Telephone Number	:	207-783-3450
Fax Number	:

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

Provider Enumeration Date	:	09/15/2023
Last Update Date	:	02/18/2026

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Directions to “ MADISYN CHAREST ” Practice Location

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