JARED L BUZZELL (P.T.) – Physical Therapist, NPI 1316921612

JARED L BUZZELL (P.T.) is a healthcare provider. based in South portland, Maine. specializing in Physical Therapist. They hold the professional credentials P.T.. They hold a License No. PT2440 (ME). The NPI Number for JARED L BUZZELL (P.T.) is 1316921612

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
JARED L BUZZELL (P.T.)
NPI
1316921612
Phone
(207) 482-7800
Address
324 GANNETT DR STE 200
Enumeration Date
1 December 2005
Last Update Date
10 November 2015

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
2072824210
Graduation Year
2000 (26 years ago)
PAC ID
6103161765
Group Practice PAC ID
7618871245
Professional Enrollment ID
I20181231000758
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JARED L BUZZELL (P.T.)

  • Gannett Drive, South Portland, Cumberland County, Maine, 04092, United States

    SOUTH PORTLAND, ME 041063266

    Phone: (207) 482-7800

    Type: Mailing

  • 33, Sewall Street, Thompsons Point, Portland, Cumberland County, Maine, 04102, United States

    PORTLAND, ME 041022603

    Phone: (207) 828-2100

    Type: Location

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: 2018-12-31

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
I20181231000758IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04106)

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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: 7618871245View full group profile

Reviews

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Frequently asked questions

Does JARED L BUZZELL (P.T.) have a public NPI I can cite?
Public records show JARED L BUZZELL (P.T.) under NPI 1316921612.
Should I treat JARED L BUZZELL (P.T.) as an active provider?
Patients and plans typically see JARED L BUZZELL (P.T.) as active in the national extract.
Which specialty label fits JARED L BUZZELL (P.T.)?
NPPES ties JARED L BUZZELL (P.T.) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JARED L BUZZELL (P.T.)?
JARED L BUZZELL (P.T.) is associated with South Portland, Maine in the same public data insurers reference.
Why is information missing for JARED L BUZZELL (P.T.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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