Unknown Individual – Physical Therapist, NPI 1619956729
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
100 FODEN RD, EAST
SUITE 205
SOUTH PORTLAND, ME 04106
Phone: (207) 780-8860
Fax: (207) 523-8584
Type: Location
100, Gannett Drive, South Portland, Cumberland County, Maine, 04106, United States
SUITE C
SOUTH PORTLAND, ME 04106
Phone: (207) 828-0361
Fax: (207) 874-1483
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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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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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | ME | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 287 | 20 |
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