Success Physical Therapy

LBN: Success Physical Therapy
Success Physical Therapy is an health care organization with primary practice located at 43 Baxter Blvd , Portland ME 04101-1823. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Success Physical Therapy can be contacted via phone (207) 874-7992, or through Mitchell, Judy C. via phone (207) 874-7992.

Contact Information

Primary practice address
43 Baxter Blvd Portland ME 04101-1823
Phone: (207) 874-7992
Fax: (207) 774-9156
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Judy C.
Phone: (207) 874-7992

Health care specialties

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

Profile Details

NPI number 1548235351
LBN Legal business name Success Physical Therapy
DBA Doing business as
Authorized official Mitchell, Judy C.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2006
Last updated Aug 22nd, 2020 - about 5 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 1548235351 NPPES
Maine Other 016708 ANTHEM PROVIDER NUMBER
Maine Other 1041654 ANTHEM PROVIDER NUMBER
Maine Other MN 2183 ANTHEM PROVIDER NUMBER

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