Stephen R Vance, PT, CHT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT525 Issued in ME

Practice address

275 Bath Rd
Suite 2
Brunswick, ME 04011-2671

Phone

(207) 729-4998

Fax

(207) 729-6225

NPI assigned

Jul 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Westbrook, ME
  • NPI 1396312807
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1043210875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BATH RD",
            "address_2": "SUITE 2",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112671",
            "telephone_number": "207-729-4998",
            "fax_number": "207-729-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BATH RD",
            "address_2": "SUITE 2",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112671",
            "telephone_number": "207-729-4998",
            "fax_number": "207-729-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "credential": "PT, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "098420",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• U.S. Healthworks Medical Group of Maine, Inc.
• Roople Kiran Unia, MD
• Heather Valliere, M.S. CCC-SLP
• Sebastian D Van Dyck, DPT
• John S Van Orden, MD
• Gina M. Vandeusen, M.A.
• Lloyd Vanlunen, MD
• Ashley Renee Vermillion, CNP
• Vettune Inc
• Derek Vien

• Physical Therapist in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.