MAINE ORTHOTIC & PROSTHETIC REHAB SERVICES INC (NPI# 1619100955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619100955 |
| Entity Type | Organization |
| Organization Name | MAINE ORTHOTIC & PROSTHETIC REHAB SERVICES INC |
| Practice Address |
5 Wellspring Rd Suite 102 Biddeford ME 04005-9401 |
| Mailing Address |
300 Park Ave Portland ME 04102-2914 |
| Practice Telephone | 2077738818 |
| Practice Fax Number | 2077731204 |
| Mailing Telephone | 2077738818 |
| Mailing Fax Number | 2077731204 |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-03 |
| Authorized Official Name | MR. KENNETH E PERKINS (PRESIDENT) |
| Authorized Official Telephone | 2077738818 |
| Authorized Official Credential | CO / PT |
| Is Organization Subpart | Y |
| Parent Organization Name | MAINE ORTHOTIC & PROSTHETIC REHAB SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285967877 | Maine Orthotic & Prosthetic Rehab Services Inc | Durable Medical Equipment & Medical Supplies | 195 Fore River Parkway, Nefas Suite 210, Portland, ME 04102 | 2009-09-14 |
| 1912130253 | Maine Orthotic & Prosthetic Rehab Services Inc | Durable Medical Equipment & Medical Supplies | 89 Hospital St, Augusta, ME 04330-6651 | 2009-09-03 |
| 1184857427 | Maine Orthotic & Prosthetic Rehab Services Inc | Durable Medical Equipment & Medical Supplies | 5 North St, Presque Isle, ME 04769-2240 | 2009-09-03 |
| Street Address |
5 WELLSPRING RD SUITE 102 |
| City | BIDDEFORD |
| State | ME |
| Zip Code | 04005-9401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600479 | Hilary Mitchell-clark | Massage Therapist | 311 Alfred St. Massage Craft, Biddeford, ME 04005 | 2018-12-16 |
| 1598266793 | Galicia Fryzlewicz | Physical Medicine & Rehabilitation | 11 Hills Beach Road, Biddeford, ME 04005 | 2018-02-22 |
| 1487175550 | Emily Abbie Burns | Dentist | 125-126 Shops Way, Biddeford, ME 04005 | 2017-06-29 |
| 1811365513 | Sarah D. Shepherd, D.o.llc | Clinic/Center | 27 Wadlin Road, Biddeford, ME 04005 | 2015-09-11 |
| 1598012213 | Shayne Mcmahon Foley | Physician Assistant | 1 Medial Center Drive, Biddeford, ME 04005 | 2012-08-13 |
| 1174807374 | Justin Clark Cialfi | Counselor | 6d Wellspring Road, Biddeford, ME 04005 | 2011-10-06 |
| 1689981763 | Ann Burton | Physical Therapist | 4 Autumn Ln, Biddeford, ME 04005 | 2010-09-09 |
| 1164733978 | Christopher Patrick Blomberg | Internal Medicine | 9 Healthcare Dr Ste 105, Biddeford, ME 04005 | 2010-06-25 |
| 1821324815 | Oceanside Community Services | Community/Behavioral Health | 22 W Cole Rd Ste 103, Biddeford, ME 04005 | 2009-10-26 |
| 1386979383 | New Communities, Inc. | Assisted Living Facility | 2 Dartmouth Street, Biddeford, ME 04005 | 2009-10-08 |
| Find all providers in zip 04005 | ||||
| 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 |
|---|---|---|---|---|
| 1376031310 | Divine Healing LLC | Prosthetic/Orthotic Supplier | 86 Farley Rd, Brunswick, ME 04011-2642 | 2018-04-25 |
| 1750627774 | Allied Health Advantage | Prosthetic/Orthotic Supplier | 120 Drummond Ave Ste 2, Waterville, ME 04901-5778 | 2012-12-19 |
| 1750656039 | Sound Limbs Orthotics, Inc | Prosthetic/Orthotic Supplier | 45 Mallett Dr Suite 102, Freeport, ME 04032-1312 | 2012-03-20 |
| 1194023218 | Aryz Inc | Prosthetic/Orthotic Supplier | 671 Forest Ave, Portland, ME 04103-4158 | 2011-03-14 |
| 1225366792 | Innovative Prosthetic Solutions, Inc | Prosthetic/Orthotic Supplier | 120 Percy Hawkes Rd, Windham, ME 04062-4397 | 2009-11-21 |
| 1700013935 | Lady Grace Stores, Inc. | Prosthetic/Orthotic Supplier | 343 Gorham Rd, South Portland, ME 04106-2317 | 2009-06-15 |
| 1619140381 | Damariscotta Chiropractic | Prosthetic/Orthotic Supplier | 54 Bristol Road, Damariscotta, ME 04543-4025 | 2008-04-02 |
| 1063699064 | Secret Beneath | Prosthetic/Orthotic Supplier | 130 Congress St, Rumford, ME 04276-2035 | 2008-01-22 |
| 1669590147 | Central Maine Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 276 State St, Bangor, ME 04401-5419 | 2007-03-26 |
| 1376625400 | Lamey Wellehan Inc | Prosthetic/Orthotic Supplier | Cooks Corner Mall, Brunswick, ME 04011 | 2006-10-19 |
| 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.