SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC. (NPI# 1942850854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942850854 |
| Entity Type | Organization |
| Organization Name | SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC. |
| Practice Address |
1274 Congress St Fl 3 Portland ME 04102-2111 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 2078880900 |
| Practice Fax Number | 2072532410 |
| Mailing Telephone | 7179754556 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |
| 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 |
| Other Name | Type Code |
|---|---|
| Saco Bay Physical Therapy | Doing Business As Name - Organization |
| 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 |
| 1568094845 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Clinic/Center | 2947 Jefferson St N Ste 1, Lewisburg, WV 24901-5719 | 2020-02-05 |
| 1700429834 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Clinic/Center | 1399 Maine St, Poland, ME 04274-7303 | 2019-10-22 |
| 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 |
1274 CONGRESS ST FL 3 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982241931 | Marissa Lyon | Physical Therapist | 1274 Congress St Fl 3, Portland, ME 04102-2111 | 2019-12-09 |
| 1598306953 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Prosthetic/Orthotic Supplier | 1274 Congress St Fl 3, Portland, ME 04102-2111 | 2019-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174857577 | Creative Therapy Connections, LLC | Clinic/Center | 5232 N Interstate Avenue, Portland, OR 97217 | 2009-10-01 |
| 1043360159 | Midwest Healthstrategies, Inc. | Clinic/Center | 1756 W 100 S, Portland, IN 47371-8204 | 2007-01-11 |
| 1144788209 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc | Clinic/Center | 1601 Congress St, Portland, ME 04102-2102 | 2019-03-07 |
| 1881077204 | Function Therapeutics LLC | Clinic/Center | 7925 Se Stark St, Portland, OR 97215-2341 | 2015-07-02 |
| 1801286117 | Portland Wellness Care | Clinic/Center | 4160 Ne Sandy Blvd, Suite 1100, Portland, OR 97212-5336 | 2015-01-26 |
| 1932131364 | Rehabilitation Medicine Associates, PC | Clinic/Center | 1040 Nw 22nd Ave, Suite 320, Portland, OR 97210-3057 | 2006-07-07 |
| 1144282310 | Pacific Rehabilitation & Sports Medicine Inc | Clinic/Center | 2330 Nw Flanders St, Ste 101, Portland, OR 97210-3442 | 2006-04-04 |
| 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 |
| 1285193912 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc | Clinic/Center | 180 Waterman Dr, South Portland, ME 04106-3659 | 2019-03-12 |
| 1427564590 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 176 Livermore Falls Rd Unit 1, Farmington, ME 04938-6243 | 2017-12-27 |
| 1285033779 | Genesis Rehabilitation Services | Clinic/Center | 7 Wilson St, Skowhegan, ME 04976-2022 | 2014-08-20 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1447672001 | Beyond Achieving Skills, LLC | Clinic/Center | 24 Anderson Rd., Raymond, ME 04071 | 2014-01-15 |
| 1801856646 | Select Physical Therapy Holdings Inc | Clinic/Center | 5 Bucknam Road, Ste 1f, Falmouth, ME 04105 | 2006-03-24 |
| 1013977818 | Select Physical Therapy Holdings Inc | Clinic/Center | 120 Harpswell Rd, Brunswick, ME 04011-3124 | 2006-03-24 |
| 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.