Southern Maine Physical Therapy

LBN: Southern Maine Physical Therapy
Southern Maine Physical Therapy is an health care organization with primary practice located at 449 Cottage Rd , South Portland ME 04106-4924. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Southern Maine Physical Therapy can be contacted via phone (207) 799-9700, or through Ayre, Brenda via phone (207) 799-9700.

Contact Information

Primary practice address
449 Cottage Rd South Portland ME 04106-4924
Phone: (207) 799-9700
Fax: (207) 799-9706
Website:
Map and Directions
Authorized official contact:
Name: Ayre, Brenda PT/OWNER
Phone: (207) 799-9700

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Maine

Profile Details

NPI number 1699875674
LBN Legal business name Southern Maine Physical Therapy
DBA Doing business as
Authorized official Ayre, Brenda PT/OWNER
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699875674 NPPES
Maine Other 2433023 AETNA GROUP NUMBER
Maine Other 040910 AETNA GROUP NUMBER
Maine Other 100482300 AETNA GROUP NUMBER
Maine MEDICAID 130470100 AETNA GROUP NUMBER
Maine Other DB3088 AETNA GROUP NUMBER
Maine Other MNT112 AETNA GROUP NUMBER
Maine Other 5182235 AETNA GROUP NUMBER

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