ANDREW J. TOOTHAKER (PT) – Physical Therapist, NPI 1700812062

ANDREW J. TOOTHAKER (PT) is a healthcare provider. based in Waterboro, Maine. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT1974 (ME). The NPI Number for ANDREW J. TOOTHAKER (PT) is 1700812062

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW J. TOOTHAKER (PT)
NPI
1700812062
Phone
(207) 247-3216
Address
392 MAIN ST
Enumeration Date
25 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
1759344989
Group Practice PAC ID
5395712137
Professional Enrollment ID
I20041109000726
Address ID
ME040870456WA392XXSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

628 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ME

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Provider Addresses for ANDREW J. TOOTHAKER (PT)

  • 392, Main Street, East Waterboro, Waterboro, York County, Maine, 04087, United States

    WATERBORO, ME 040873057

    Phone: (207) 247-3216

    Fax: (207) 247-3217

    Type: Location

  • PO BOX 456

    WATERBORO, ME 040870456

    Phone: (207) 247-3216

    Fax: (207) 247-3217

    Type: Mailing

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: 2004-11-09

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
I20041109000726IPhysical 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 minutes72381$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes44668$0
97530Therapy procedure using functional activities42353$0
97140Therapy procedure using manual technique, each 15 minutes40157$0
97162Evaluation for physical therapy, typically 30 minutes5955$0
View full utilization report →

Insurance plans in this area (ZIP 04087)

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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: 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

How do I look up ANDREW J. TOOTHAKER (PT) by NPI?
Use NPI 1700812062 when you need to reference ANDREW J. TOOTHAKER (PT) in forms, claims, or directories.
Is ANDREW J. TOOTHAKER (PT) active in the national directory?
ANDREW J. TOOTHAKER (PT)'s public NPI profile is in an active state.
Does ANDREW J. TOOTHAKER (PT) list a primary specialty?
If you are matching referrals, note Physical Therapist for ANDREW J. TOOTHAKER (PT). Clinical services aligned with this taxonomy classification.
Where does public data place ANDREW J. TOOTHAKER (PT)?
The snapshot lists Waterboro, Maine for ANDREW J. TOOTHAKER (PT); download NPPES for the complete set.
What if Waterboro, Maine seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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