DEIDRA OUELLETTE – Physical Therapist, NPI 1689089328

DEIDRA OUELLETTE is a healthcare provider. based in Cape elizabeth, Maine. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT3925 (ME). The NPI Number for DEIDRA OUELLETTE is 1689089328

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DEIDRA OUELLETTE
NPI
1689089328
Phone
(207) 767-9773
Address
2 DAVIS POINT LN
Enumeration Date
20 June 2014
Last Update Date
6 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2072473216
Graduation Year
2012 (14 years ago)
PAC ID
2264657683
Group Practice PAC ID
5395712137
Professional Enrollment ID
I20140627000200
Address ID
ME040873057WA392XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

628 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ME

Provider Addresses for DEIDRA OUELLETTE

  • 2 DAVIS POINT LN

    SUITE 1A

    CAPE ELIZABETH, ME 041072620

    Phone: (207) 767-9773

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140627000200IPhysical Therapist In Private PracticeMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes32456$0
97140Therapy procedure using manual technique, each 15 minutes26947$0
97113Therapy procedure using water pool to exercises, each 15 minutes26120$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes21842$0
97530Therapy procedure using functional activities11331$0
View full utilization report →

Insurance plans in this area (ZIP 04107)

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Provider's Procedures

DEIDRA OUELLETTE performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYME97001Physical therapy evaluation8481

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395712137View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeME
Occupational Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Occupational Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Occupational Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Occupational Therapist In Private PracticeME
Physical Therapist In Private PracticeME

Reviews

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Frequently asked questions

What is the 10-digit NPI for DEIDRA OUELLETTE?
DEIDRA OUELLETTE — NPI 1689089328 — is the standard way to identify this listing.
Does the file indicate DEIDRA OUELLETTE is practicing under active NPI?
Directory data currently reports DEIDRA OUELLETTE as active.
What is DEIDRA OUELLETTE's specialty?
The listing groups DEIDRA OUELLETTE with Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does DEIDRA OUELLETTE serve?
DEIDRA OUELLETTE's listing highlights Cape Elizabeth, Maine; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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