NORTHERN PHYSICAL THERAPY & REHAB SERVICES LLC – Physical Therapist, NPI 1053471607
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for NORTHERN PHYSICAL THERAPY & REHAB SERVICES LLC
34, North Street, Presque Isle, Aroostook County, Maine, 04769, United States
SUITE 6
PRESQUE ISLE, ME 047692264
Phone: (207) 764-0400
Fax: (207) 764-0499
Type: Location
35, Hampden Place, Hayden, Windsor, Hartford County, Connecticut, 06095, United States
WINDSOR, CT 060951477
Phone: (860) 285-0635
Fax: (860) 271-8015
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: 2004-11-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20041119000443 | O | Physical/Occupational Therapy Group In Private Practice | ME | TBD |
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.
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 04769)
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