KIMBERLY WALLINGFORD MACVANE


Address: 331 Veranda St, Building 6, Rm 3311, Portland, ME 04103-5545
Phone: 2075360702

KIMBERLY WALLINGFORD MACVANE (NPI# 1104369164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104369164
Entity Type Individual
Full Name KIMBERLY WALLINGFORD MACVANE
Other Name KIMBERLY D WALLINGFORD
Practice Address 331 Veranda St
Building 6, Rm 3311
Portland
ME 04103-5545
Mailing Address 73 Newton Rd
Ste 101
Plaistow
NH 03865-2424
Practice Telephone 2075360702
Practice Fax Number 2075360785
Mailing Telephone 9783887272
Mailing Fax Number 9783887373
Enumeration Date 2016-11-23
Last Update Date 2018-01-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225100000X Physical Therapist PT4737 ME Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 331 VERANDA ST
BUILDING 6, RM 3311
City PORTLAND
State ME
Zip Code 04103-5545

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023014198 Linda K Morrison Ophthalmology 331 Veranda St, Portland, ME 04103-5545 2005-06-23
1326561564 Katherine Smith Nurse Practitioner 331 Veranda St, Portland, ME 04103-5545 2017-07-19
1609304658 Jessica B Mcconville Nurse Practitioner 331 Veranda St, Portland, ME 04103-5545 2017-06-02
1598298697 Kristen Lang Family Medicine 331 Veranda St, Portland, ME 04103-5545 2017-04-05
1972974434 Ashley Vadas Social Worker 331 Veranda St, Bldg. 6, Portland, ME 04103-5545 2015-10-09
1902274541 Alliance Physical Therapy, LLC Physical Therapist 331 Veranda St, Building 6, Rm 3311, Portland, ME 04103-5545 2015-09-14
1780052795 Austin Cary Stonebraker Physical Therapist 331 Veranda St, Building 6, Room 3311, Portland, ME 04103-5545 2015-09-08
1043688039 Pinnacle Rehabilitation Network LLC Physical Therapist 331 Veranda St, Building 6, Room 3311, Portland, ME 04103-5545 2015-09-08
1114308277 James Mcilhenny Riddleberger Family Medicine 331 Veranda St, Portland, ME 04103 2015-06-15
1083011738 Martin's Point Health Care Family Medicine 331 Veranda St, Portland, ME 04103-5545 2014-11-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790302677 Hope for All Community Services LLC Community/Behavioral Health 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 2020-06-26
1982251435 Hope Home Healthcare, LLC Home Health 68 Bishop St Unit 3 #2, Portland, ME 04103 2019-08-20
1992367023 Care for Everyone In Home Supportive Care 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 2019-06-28
1093373458 Emanuel Nistrian Student in an Organized Health Care Education/Training Program Une, 716 Stevens Ave., Portland, ME 04103 2019-05-31
1023676483 Robert Montague Student in an Organized Health Care Education/Training Program University of New England, 716 Stevens Ave, Portland, ME 04103 2019-05-31
1154838027 Kimberly Therriault Behavior Technician 527 Ocean Ave Ste 19, Portland, ME 04103 2018-01-02
1285147918 Teresa Maalouf Community Health Worker 23 Cambridge St., Portland, ME 04103 2017-11-16
1578082244 Darcelle Kay Stillman Occupational Therapist 90 Dorothy St, Portland, ME 04103 2017-09-14
1821524943 Engility Enterprises LLC Case Management 1 Coast Lane, Portland, ME 04103 2017-05-10
1720524283 Hannah Rose Kazilionis Counselor 257 Deering Ave # 204, Portland, ME 04103 2017-01-09
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Taxonomy Information

Taxonomy Code 225100000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist

Taxonomy Definition

(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury.
Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356942221 Joseph Cody Brainard Physical Therapist 4416 Ne Simpson St, Portland, OR 97218-1446 2020-11-05
1497355978 Ptmobile Physical Therapy LLC Physical Therapist 9505 Sw 50th Ave, Portland, OR 97219-5159 2020-10-26
1376142133 Randy Dittmar Physical Therapist 10120 Sw Park Way, Portland, OR 97225-5008 2020-10-22
1386250058 Christopher Choi Physical Therapist 1307 Ne 102nd Ave Ste T1, Portland, OR 97220-3980 2020-09-18
1063026987 Sara Marie Lindauer Physical Therapist 3934 Ne Martin Luther King Jr Blvd Ste 203, Portland, OR 97212-1153 2020-09-08
1891307492 Emily Fleischman Physical Therapist 2714 Ne 60th Ave, Portland, OR 97213-3906 2020-08-17
1083224034 Matthew Morris Physical Therapist 1364 Congress St Ste 3, Portland, ME 04102-2170 2020-08-05
1871101634 Liz Ruegg Physical Therapy LLC Physical Therapist 2903 Se Brooklyn St, Portland, OR 97202-2026 2020-07-17
1770101776 Taylor Eckel Physical Therapist 818 Nw 14th Ave, Portland, OR 97209-2703 2020-07-07
1659996122 Brooke Bailey Physical Therapist 5331 S Macadam Ave Ste 105, Portland, OR 97239-3848 2020-06-10
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Competitor

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City PORTLAND
Zip Code 04103

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Dataset Information

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.

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