WIGGLE WORMS PEDIATRIC PHYSICAL THERAPY, LLC
NPI 1063962116
Speech-Language Pathologist in York, ME

Active since October 12, 2016
764 US ROUTE 1, UNIT 4, YORK, ME 03909(207) 351-3083(207) 351-3083 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wiggle Worms Pediatric Physical Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WIGGLE WORMS PEDIATRIC PHYSICAL THERAPY, LLC (NPI 1063962116) is a healthcare organization registered as a speech-language pathologist in York, Maine and active in the NPI registry since October 2016. The organization lists Joan M Bastek, Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1063962116
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameWIGGLE WORMS PEDIATRIC PHYSICAL THERAPY, LLC
Location Address764 US ROUTE 1, UNIT 4York, ME 03909-5883
Mailing Address764 Us Route 1, Unit 4York, ME 03909-5883 · (207) 351-3083 · Fax (207) 351-3083
Fax(207) 351-3083
Organization SubpartNo
Authorized OfficialJoan M BastekBilling Specialist · (207) 351-3078
Enumeration DateOctober 12, 2016
NPI 1063962116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in ME · SP2587
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
764 US ROUTE 1, York, ME 03909

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
764 US ROUTE 1
YORK, ME 03909
Optometrist
764 US ROUTE 1
YORK, ME 03909
Physical Therapy Assistant
764 US ROUTE 1, #4
YORK, ME 03909
Physical Therapy Assistant
764 US ROUTE 1, UNIT 4
YORK, ME 03909
Occupational Therapist
764 US ROUTE 1, UNIT 4
YORK, ME 03909
Physical Therapist
764 US ROUTE 1, UNIT 4
YORK, ME 03909
Physical Therapist
764 US ROUTE 1, UNIT 4
YORK, ME 03909
Occupational Therapy Assistant
764 US ROUTE 1, UNIT 4
YORK, ME 03909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wiggle Worms Pediatric Physical Therapy, LLC's NPI number?

The NPI number for Wiggle Worms Pediatric Physical Therapy, LLC is 1063962116. It was assigned to this organization in the NPPES registry on October 12, 2016.

Where is Wiggle Worms Pediatric Physical Therapy, LLC located?

Wiggle Worms Pediatric Physical Therapy, LLC is located at 764 Us Route 1 Unit 4, York, ME 03909. The listed phone number is (207) 351-3083.

What is Wiggle Worms Pediatric Physical Therapy, LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Wiggle Worms Pediatric Physical Therapy, LLC was last updated on October 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.