Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wiggle Worms Pediatric Physical Therapy, LLC

Organization Speech-Language Pathologist · NPI 1063962116

Wiggle Worms Pediatric Physical Therapy, LLC is a Speech-Language Pathologist in York, Maine. Licensed in Maine. Registered with an NPI since 2016.

Licensed in
ME
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

764 US Route 1 Unit 4
York, ME 03909-5883
Phone: (207) 351-3083
Fax: (207) 351-3083
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP2587 (ME)

Record details

NPI number1063962116
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joan Bastek — Billing Specialist · (207) 351-3078
NPI enumeratedOctober 12, 2016
Last updated in NPPESOctober 12, 2016
Mailing address764 Us Route 1, Unit 4, York, ME 03909-5883

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