SEABLUE PHYSICAL THERAPY LLC (NPI# 1528389319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528389319 |
| Entity Type | Organization |
| Organization Name | SEABLUE PHYSICAL THERAPY LLC |
| Practice Address |
67 Atlantic Hwy Northport ME 04849 |
| Mailing Address |
Po Box 165 Lincolnville ME 04849-0165 |
| Practice Telephone | 2077066076 |
| Practice Fax Number | 8778078994 |
| Mailing Telephone | 2077066076 |
| Mailing Fax Number | 8778078994 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |
| Authorized Official Name | MR. BRAD RAYMOND OLSEN (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 2077066076 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
ME | Ambulatory Health Care Facilities |
| Street Address |
67 ATLANTIC HWY |
| City | NORTHPORT |
| State | ME |
| Zip Code | 04849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902098999 | Brad Raymond Olsen | Physical Therapist | 67 Atlantic Hwy, Northport, ME 04849 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932316676 | Betty Ann Burns | Counselor | 25 Slab City Road, Lincolnville, ME 04849 | 2007-05-16 |
| 1467514448 | Deborah Janet Peabody | Family Medicine | 2399 Atlantic Highway, Lincolnville, ME 04849 | 2006-12-15 |
| 1295893022 | Catherine Wilson | Nurse Practitioner | 2399 Atlantic Hwy, Lincolnville, ME 04849 | 2006-12-05 |
| 1629168471 | Jill W. Betz | Chiropractor | 2195 Atlantic Hwy., Lincolnville, ME 04849 | 2006-10-13 |
| 1073695169 | Eric A. Betz | Chiropractor | 2195 Atlantic Hwy., Lincolnville, ME 04849 | 2006-10-19 |
| 1609807221 | Michael C. Sloan | Dentist | 2561 Atlantic Highway, Lincollnville Beach, ME 04849-0050 | 2006-07-05 |
| 1225243082 | Michael C. Sloan, D.d.s. | Dentist | 2561 Atlantic Highway, Lincolnville Beach, ME 04849-0050 | 2007-05-14 |
| 1457322810 | William M Strassberg | Orthopaedic Surgery | 36 Sailors Blf, Northport, ME 04849-3063 | 2006-02-01 |
| 1740569003 | Meredith Grace Morgan | Counselor | 1295 Atlantic Hwy, Northport, ME 04849-3600 | 2011-08-04 |
| 1063570950 | Katherine Elizabeth Box | Social Worker | 1295 Atlantic Hwy., Northport, ME 04849-3600 | 2006-12-05 |
| Find all providers in zip 04849 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417593625 | Drayer Physical Therapy Alabama LLC | Clinic/Center | 12420 Wildcat Dr Unit B, Northport, AL 35475-4576 | 2019-11-22 |
| 1043860893 | Alabama Fyzical | Clinic/Center | 4280 Watermelon Rd Ste 113, Northport, AL 35473-5163 | 2019-09-13 |
| 1669942728 | Dch Encore Rehabilitation, LLC | Clinic/Center | Dch Encore Rehabilitation, LLC, 92 Mcfarland Blvd, Northport, AL 35476 | 2018-12-03 |
| 1982951026 | Northriver Therapy | Clinic/Center | 400 Mcfarland Blvd, Ste F, Northport, AL 35476-3371 | 2012-08-08 |
| 1811132764 | Marion Hutchinson Illich | Clinic/Center | 65 Scudder Pl, Northport, NY 11768-3026 | 2008-12-06 |
| 1093279101 | Dch Encore Rehabilitation, LLC | Clinic/Center | 92 Mcfarland Blvd, Northport, AL 35476-3348 | 2019-01-23 |
| 1366835811 | Northport Physical Therapy, LLC | Clinic/Center | 301 N Mill St, Northport, MI 49670-5009 | 2015-03-09 |
| 1770830242 | Encore Rehabilitation, Inc. | Clinic/Center | 92 Mcfarland Blvd, Northport, AL 35476-3348 | 2012-08-14 |
| 1811196124 | Meharry Physical Therapy, Inc. | Clinic/Center | 525 Energy Center Blvd, Suite 1601, Northport, AL 35473-5830 | 2007-07-16 |
| 1083771836 | Village Physical Therapy, P.C. | Clinic/Center | 433 Fort Salonga Rd, Northport, NY 11768-3048 | 2007-01-02 |
| Find all providers in NORTHPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.