SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC. (NPI# 1700429834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700429834 |
| Entity Type | Organization |
| Organization Name | SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC. |
| Practice Address |
1399 Maine St Poland ME 04274-7303 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 2073705996 |
| Mailing Telephone | 7179754556 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| 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 |
| 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 |
1399 MAINE ST |
| City | POLAND |
| State | ME |
| Zip Code | 04274-7303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194361113 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Durable Medical Equipment & Medical Supplies | 1399 Maine St, Poland, ME 04274-7303 | 2019-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225204134 | Jessica N Weary | Social Worker | 1203 Maine St., Poland, ME 04274 | 2008-05-01 |
| 1093061418 | Jordan A Albair | Nurse Practitioner | 1230 Maine St, Poland, ME 04274 | 2012-08-03 |
| 1942289657 | Trisha Gushue | Family Medicine | 364 Maine St, Poland, ME 04274-5109 | 2006-01-11 |
| 1699322859 | Christopher Raymond Butler | Nurse Practitioner | 364 Maine St, Poland, ME 04274-5109 | 2019-08-22 |
| 1821168469 | James Frederick Weigand | Dentist | 364 Maine St, Poland Spring, ME 04274-5109 | 2006-11-09 |
| 1770528143 | Nathan Raby | Family Medicine | 364 Maine St, Poland, ME 04274-5109 | 2006-06-18 |
| 1215917943 | Dana Little | Family Medicine | 364 Maine St, Poland, ME 04274-5109 | 2006-01-19 |
| 1790020543 | Deborah Susan Housley | Dental Hygienist | 9 Doten Ln, Poland, ME 04274-5605 | 2012-12-05 |
| 1699931899 | Kristen Gree Cobb | Specialist | 211 Range Hill Rd, Poland, ME 04274-5901 | 2008-08-06 |
| 1083224679 | Theresa Louise Allocca | Counselor | 96 Birch Dr, Poland Spring, ME 04274-6115 | 2020-08-07 |
| Find all providers in zip 04274 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346631538 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 335 W Mckinley Way, C/o Sunrise of Poland, Poland, OH 44514-1681 | 2015-02-10 |
| 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 |
| 1942850854 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Clinic/Center | 1274 Congress St Fl 3, Portland, ME 04102-2111 | 2019-09-13 |
| 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.