Active NPI
Mary B. Powers, PHYSICAL THERAPIST
- Physical Therapist
- Scarborough, ME
National Provider Identifier
1023133477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2538
- Practice address
- 67 Pine Point Rd
Scarborough, ME 04074-8813 - Phone
- (207) 883-2468
- Fax
- (207) 883-3283
- NPI assigned
- Mar 21, 2007
- Last updated
- Jul 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2538 | ME | Primary |
| Physical Therapist | 225100000X | 15647 | MA |
Addresses
Primary practice location
67 Pine Point Rd
Scarborough, ME 04074-8813
Mailing address
46 Eastern Promenade
Portland, ME 04101-4804
Phone (207) 879-9233
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15647 | MA | MD | Physical Therapist |
| PT2538 | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023133477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 EASTERN PROMENADE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041014804",
"telephone_number": "207-879-9233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 PINE POINT RD",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040748813",
"telephone_number": "207-883-2468",
"fax_number": "207-883-3283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "MARY",
"middle_name": "B.",
"name_prefix": "Ms.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT2538",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "15647",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.