Active NPI
Cynthia J Folsom, P.T.
- Physical Therapist
- Brunswick, ME
National Provider Identifier
1023103512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1177
- Practice address
- 12 Industrial Pkwy
Brunswick, ME 04011-7314 - Phone
- (207) 841-0120
- NPI assigned
- Oct 3, 2006
- Last updated
- May 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1177 | ME | Primary |
Addresses
Primary practice location
12 Industrial Pkwy
Brunswick, ME 04011-7314
Mailing address
3 Union Street
Topsham, ME 04086-1946
Phone (207) 841-0120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254270099 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1177 | ME | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495152000000",
"number": "1023103512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 UNION STREET",
"city": "TOPSHAM",
"state": "ME",
"postal_code": "040861946",
"telephone_number": "207-841-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 INDUSTRIAL PKWY",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040117314",
"telephone_number": "207-841-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLSOM",
"first_name": "CYNTHIA",
"middle_name": "J",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2017-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT1177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "254270099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.