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

Andre Peter Vigneault, PTA

Individual provider Physical Therapy Assistant · NPI 1720875479

Andre Peter Vigneault, PTA is a Physical Therapy Assistant in Orono, Maine. Licensed in Maine. Registered with an NPI since 2025.

Licensed in
ME
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

42 Broadway
Orono, ME 04473-4017
Phone: (207) 949-3810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PA6577 (ME)

Record details

NPI number1720875479
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 24, 2025
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025
Mailing address42 Broadway, Orono, ME 04473-4017

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