SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC. (NPI# 1568094845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568094845 |
| Entity Type | Organization |
| Organization Name | SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC. |
| Practice Address |
2947 Jefferson St N Ste 1 Lewisburg WV 24901-5719 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 3046452525 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | MICHAEL E TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568091056 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Clinic/Center | 320 Mayville Rd, #2, Bethel, ME 04217 | 2020-04-06 |
| 1215563499 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Clinic/Center | 1 Alewive Park Rd, Kennebunk, ME 04043-6134 | 2020-03-19 |
| 1700429834 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Clinic/Center | 1399 Maine St, Poland, ME 04274-7303 | 2019-10-22 |
| 1942850854 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Clinic/Center | 1274 Congress St Fl 3, Portland, ME 04102-2111 | 2019-09-13 |
| 1487253373 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Clinic/Center | 23 Wells St, North Berwick, ME 03906-6815 | 2020-10-21 |
| 1346856143 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Clinic/Center | 25 Plaza Dr, Scarborough, ME 04074-6900 | 2020-09-17 |
| 1215546502 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Clinic/Center | 320 Mayville Rd, Bethel, ME 04217 | 2020-07-23 |
| 1588288369 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Clinic/Center | 47 Water St, Hallowell, ME 04347-1400 | 2020-06-08 |
| 1639715659 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Durable Medical Equipment & Medical Supplies | 154 Main St, Bridgton, ME 04009-1247 | 2019-11-25 |
| 1548806565 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Durable Medical Equipment & Medical Supplies | 176 Main St, Norway, ME 04268-5643 | 2019-11-25 |
| Street Address |
2947 JEFFERSON ST N STE 1 |
| City | LEWISBURG |
| State | WV |
| Zip Code | 24901-5719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| Find all providers in zip 24901 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386784486 | Nhc Healthcare Oakwood LLC | Clinic/Center | 244 Oakwood Dr, Lewisburg, TN 37091-3153 | 2007-02-07 |
| 1063551828 | Nhc Healthcare Lewisburg LLC | Clinic/Center | 1653 Mooresville Hwy, Lewisburg, TN 37091-2005 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752744 | Bhsm Rehabilitation, LLC | Clinic/Center | 301 Summers St Ste G, Hinton, WV 25951-2336 | 2020-02-21 |
| 1336522929 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1000 S Maplewood Dr, C/o Emeritus At Maplewood, Bridgeport, WV 26330-9593 | 2015-07-01 |
| 1437580834 | Excel Physical Therapy and Sports Performance, LLC | Clinic/Center | 3540 Teays Valley Rd, Hurricane, WV 25526-9054 | 2013-12-10 |
| 1912168816 | Pure Performance Sportscare and Rehabilitation | Clinic/Center | 547 Willowdale Drive, Shepherdstown, WV 25443 | 2008-06-23 |
| 1508905613 | Debbie K Cooke | Clinic/Center | 1199 Pineview Dr, Morgantown, WV 26505-2700 | 2007-02-05 |
| 1619951977 | St of Wv Div of Rehabilitation Services | Clinic/Center | Barron Drive, Institute, WV 25112-1004 | 2005-11-30 |
| 1376175182 | Matrix Rehabilitation, Inc. | Clinic/Center | 18228 Seneca Trail, Marlinton, WV 24954 | 2020-02-10 |
| 1073145884 | Kessler Institute for Rehabilitation, Inc. | Clinic/Center | 4914 Potomac Highlands Trail, Green Bank, WV 24944 | 2020-02-10 |
| 1720610009 | Dignity Select Nevada, LLC | Clinic/Center | 155 Reston Pl, Gassaway, WV 26624-9356 | 2020-02-05 |
| 1689206963 | Physiotherapy Assoicates, Inc. | Clinic/Center | 390 John Raine Dr, Rainelle, WV 25962-1462 | 2020-02-05 |
| Find all providers with the same taxonomy | ||||
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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.