Individual provider Active NPI

Elizabeth Goodrich, DPT

  • Physical Therapist
  • Portland, ME
National Provider Identifier
1033832886
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26294 Issued in MA
Practice address
561 Congress St
Portland, ME 04101-3308
Phone
(207) 536-4968
NPI assigned
Sep 26, 2022
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26294 MA Primary

Addresses

Primary practice location

561 Congress St
Portland, ME 04101-3308

Mailing address

561 Congress St
Portland, ME 04101-3308
Phone (207) 536-4968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221020001430 MA Practitioner - Physical Therapist in Private Practice 6103292867 Reassigns benefits to 1 organization
I20240918002093 ME Practitioner - Physical Therapist in Private Practice 6103292867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dirigo Physical Therapy and PerformanceGroup PAC ID 9234489212, 7 clinicians

Practice addresses (Care Compare)

110 Main St
Suite 1106
Saco, ME 04072-3504
Phone (207) 747-5127

Merit-based Incentive Payment System (MIPS)

Final score
80.9 of 100Reported as group
Quality
79.21
Improvement activities
40
Cost
74.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Dirigo Physical Therapy and Performance CurrentSince Sep 1, 2024 Accepting new patients

Locations

1395 Commerce Way
Ste 112
Attleboro, MA 02703
Phone (508) 455-5740

25 Taunton St
Unit 6
Plainville, MA 02762
Phone (508) 316-1283

185 High St
Portland, ME 04101
Phone (207) 536-4968

561 Congress St
Portland, ME 04101
Phone (207) 536-4968

110 Main St
Ste 1106
Saco, ME 04072
Phone (207) 536-4968

4 Richmond Sq
Ste 200
Providence, RI 02906

Organizations & group practices 3

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1033832886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013308",
            "telephone_number": "207-536-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013308",
            "telephone_number": "207-536-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.