SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC. (NPI# 1598306953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598306953 |
| 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 | 2078889000 |
| Practice Fax Number | 2072532410 |
| Mailing Telephone | 7179754556 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |
| Authorized Official Name | MICHAEL E TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| 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 |
| 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 |
| Street Address |
1274 CONGRESS ST FL 3 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942850854 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Clinic/Center | 1274 Congress St Fl 3, Portland, ME 04102-2111 | 2019-09-13 |
| 1982241931 | Marissa Lyon | Physical Therapist | 1274 Congress St Fl 3, Portland, ME 04102-2111 | 2019-12-09 |
| 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 | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194023218 | Aryz Inc | Prosthetic/Orthotic Supplier | 671 Forest Ave, Portland, ME 04103-4158 | 2011-03-14 |
| 1023188778 | Orthotic Prosthetic Associates, Inc. | Prosthetic/Orthotic Supplier | 173 Ne 102nd Ave, Portland, OR 97220-4169 | 2006-11-09 |
| 1659306207 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 1001 Lloyd Ctr, Portland, OR 97232-1238 | 2006-07-12 |
| 1669407219 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 701 Sw Broadway, Portland, OR 97015-3301 | 2006-07-12 |
| 1902831563 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 11900 Se 82nd Ave, Portland, OR 97086-7724 | 2006-07-12 |
| 1629003280 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 9700 Sw Washington Square Rd, Portland, OR 97223-4453 | 2006-07-12 |
| 1265481758 | A Step Forward LLC | Prosthetic/Orthotic Supplier | 8605 Sw Terwilliger Blvd, Portland, OR 97219-4565 | 2006-05-10 |
| 1386602621 | East Side Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 17316 Ne Halsey St, Portland, OR 97230-6026 | 2006-05-03 |
| 1407811789 | Oregon Artificial Limb Co. | Prosthetic/Orthotic Supplier | 21 Ne Seventh Ave., Portland, OR 97232-2907 | 2006-04-19 |
| 1033112636 | Oregon Pedorthic Services | Prosthetic/Orthotic Supplier | 9932 Ne Halsey St, Portland, OR 97220-4474 | 2005-05-27 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC..
| 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.