Gorham Physical Therapy, LLC – Physical Therapist, NPI 1821165960
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Gorham Physical Therapy, LLC
797 Wilson St
Brewer, ME 044121000
Phone: (207) 992-4042
Fax: (207) 992-4043
Type: Location
1364 Main St Ste 6
Sanford, ME 040733648
Phone: (207) 881-5014
Type: Location
600 Turner St Ste 2
Auburn, ME 042105093
Phone: (207) 707-4788
Type: Location
532 Main St Ste 5
Saco, ME 040721526
Phone: (207) 820-7609
Type: Location
5 Stewart Dr Unit 1A
Scarborough, ME 040742027
Phone: (207) 503-2728
Type: Location
120 Elm Plz
Waterville, ME 049014936
Phone: (207) 707-4789
Type: Location
251 US Route 1 Ste W16
Falmouth, ME 041051577
Phone: (207) 910-3370
Fax: (207) 221-1481
Type: Location
1017 School St Ste 4
Veazie, ME 044016983
Phone: (207) 894-6950
Fax: (207) 945-8222
Type: Location
117 Broadway Ste 1
Bangor, ME 044015205
Phone: (207) 990-0188
Type: Location
482 Stillwater Ave
Old Town, ME 044682190
Phone: (207) 881-5012
Type: Location
2402 Route 2 Ste E
Hermon, ME 044010666
Phone: (207) 605-9067
Type: Location
248 State St Ste 3A
Ellsworth, ME 046051850
Phone: (207) 667-4278
Type: Location
1008 W Main St
Dover Foxcroft, ME 044263745
Phone: (207) 802-5062
Type: Location
256 Main Street
Ste B
Belfast, ME 04915
Phone: (207) 881-5013
Type: Location
4 Main St Unit T2
Newport, ME 049534156
Phone: (207) 924-0077
Fax: (207) 924-0078
Type: Location
34 Hennessey Ave
Brunswick, ME 040112333
Phone: (207) 725-7578
Type: Location
1041 Brighton Ave
Portland, ME 041021042
Phone: (207) 699-4111
Fax: (207) 773-8814
Type: Location
185 Ocean St
South Portland, ME 041063600
Phone: (207) 799-8226
Fax: (207) 799-9340
Type: Location
625 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 495462395
Phone: (616) 356-5000
Fax: (616) 356-5001
Type: Mailing
94, Main Street, Gorham, Cumberland County, Maine, 04038, United States
GORHAM, ME 040381340
Phone: (207) 839-5860
Fax: (207) 839-2499
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: 2004-10-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (923 days ago).
Enrollment records
1
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| O20041004000108 | O | Physical/Occupational Therapy Group In Private Practice | ME | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 04412)
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