BUCKSPORT PHYSICAL THERAPY, LLC (NPI# 1952629214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952629214 |
| Entity Type | Organization |
| Organization Name | BUCKSPORT PHYSICAL THERAPY, LLC |
| Practice Address |
34 Us Route 1 Bucksport ME 04416-0901 |
| Mailing Address |
Po Box 901 Bucksport ME 04416-0901 |
| Practice Telephone | 2074690786 |
| Practice Fax Number | 2074699975 |
| Mailing Telephone | 2074690786 |
| Mailing Fax Number | 2074699975 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2015-07-08 |
| Authorized Official Name | KIM L DE VERSTERRE (OWNER) |
| Authorized Official Telephone | 2074690786 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | PT2563 | ME | Residential Treatment Facilities |
| Street Address |
34 US ROUTE 1 |
| City | BUCKSPORT |
| State | ME |
| Zip Code | 04416-0901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831667278 | Anna Levesque | Pharmacist | 220 Us-1, Ste 1, Bucksport, ME 04416 | 2018-11-04 |
| 1528582475 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 220 Us Rte 1 Ste 1, Bucksport, ME 04416 | 2017-08-02 |
| 1679822076 | Brenden Placido Rock | Pharmacist | 220 U.S. Route 1, Bucksport, ME 04416 | 2012-08-31 |
| 1841504834 | Rashid K Sarpong | Pharmacist | Us Hwy Route 220, Rite Aid Pharmacy Fort Knox Shopping Plaza, Bucksport, ME 04416 | 2010-08-02 |
| 1740593409 | Sylvester A Osa-iyare | Pharmacist | 220 Us Route 1 Ste 1, Rite Aid Pharmacy, Bucksport, ME 04416 | 2010-07-22 |
| 1124352737 | Ellsworth Bucksport Dental Associates | Dentist | 11 Mechanic Street, Bucksport, ME 04416 | 2009-09-29 |
| 1568603538 | Ester Marie Arnberg | Acupuncturist | 100 U.S. Highway #1, Suite #2, Verona Island, ME 04416 | 2009-03-20 |
| 1457560724 | Orland School Department | Local Education Agency (LEA) | 62 Mechanic Street, Bucksport, ME 04416 | 2007-05-22 |
| 1376757021 | Bucksport School Department | Local Education Agency (LEA) | 62 Mechanic St., Bucksport, ME 04416 | 2007-05-10 |
| 1174640551 | Town of Bucksport Ambulance | Emergency Medical Technician, Paramedic | 89 Franklin Street, Bucksport, ME 04416 | 2007-03-23 |
| Find all providers in zip 04416 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199214 | Charity Residential Care LLC | Residential Treatment Facility, Physical Disabilities | 159 Oxford St Apt 101, Portland, ME 04101-3193 | 2019-11-26 |
| 1669932323 | Shepherd Care, LLC | Residential Treatment Facility, Physical Disabilities | 560 Main St Apt 1, South Portland, ME 04106-5409 | 2019-03-20 |
| 1124595764 | Safe Residential Care, LLC | Residential Treatment Facility, Physical Disabilities | 36 Patrick Dr, Westbrook, ME 04092-4807 | 2018-11-01 |
| 1861869257 | Daniel Szocik | Residential Treatment Facility, Physical Disabilities | 49 Highland Ave, Livermore Falls, ME 04254-1425 | 2015-09-01 |
| 1922337203 | Emilio Estates, Inc | Residential Treatment Facility, Physical Disabilities | 465 W Corinth Rd, Corinth, ME 04427-3144 | 2009-12-15 |
| 1508952771 | Lincolnhealth Coves Edge | Residential Treatment Facility, Physical Disabilities | 51 Schooner St, Damariscotta, ME 04543-4055 | 2006-10-05 |
| 1417043688 | Lincolnhealth Coves Edge | Residential Treatment Facility, Physical Disabilities | 51 Schooner St, Damariscotta, ME 04543-4055 | 2006-10-05 |
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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.