Individual provider Active NPI

Gary R Sylvester, MS, PT

  • Physical Therapist
  • Freeport, ME
National Provider Identifier
1083928907
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2761 Issued in ME
Practice address
303 US Route 1
Suite 1B
Freeport, ME 04032-7029
Phone
(207) 865-0004
Fax
(207) 865-3004
NPI assigned
Aug 3, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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 PT2761 ME Primary

Addresses

Primary practice location

303 US Route 1
Suite 1B
Freeport, ME 04032-7029

Mailing address

303 US Route 1
Suite 1B
Freeport, ME 04032-7029
Phone (207) 865-0004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923000693 ME Practitioner - Physical Therapist in Private Practice 5092831461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back in Motion Physical Therapy LLCGroup PAC ID 7416926704, 57 clinicians

Practice addresses (Care Compare)

15 Strawberry Ave
Lewiston, ME 04240-5941
Phone (207) 777-7740

600 Turner St
Suite 2
Auburn, ME 04210-5093
Phone (207) 707-4788

710 Main St
Lewiston, ME 04240-5801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT2761MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Androscoggin Home Health Services, Inc Current Accepting new patients
Androscoggin Home Health Services, Inc. Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Androscoggin Home Health Services, Inc. Physical Therapist Past Accepting new patients

Locations

165 Capitol St
Augusta, ME 04330
Phone (207) 623-1170

498 Essex St
Ste 104
Bangor, ME 04401
Phone (207) 947-0768

175 Portland Rd
Ste 4
Bridgton, ME 04009
Phone 2077777740 ext. 5225

1073 W Main St
Dover Foxcroft, ME 04426
Phone (207) 564-0200

176 Livermore Falls Rd
Farmington, ME 04938
Phone 2077777740 ext. 3208

710 Main St
Lewiston, ME 04240
Phone (207) 783-1449

72 Strawberry Ave
Lewiston, ME 04240
Phone (207) 782-2150

15 Strawberry Ave
Lewiston, ME 04240
Phone (207) 520-9329

710 Main St
#1
Lewiston, ME 04240
Phone (207) 741-1345

39 Main St
Ste 3
Norway, ME 04268
Phone 2077777740 ext. 6202

181 Academy St
Ste 6
Presque Isle, ME 04769
Phone (207) 741-1050

180 Main St
Waterville, ME 04901
Phone (207) 458-3759

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1083928907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 US ROUTE 1",
            "address_2": "SUITE 1B",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040327029",
            "telephone_number": "207-865-0004",
            "fax_number": "207-865-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 US ROUTE 1",
            "address_2": "SUITE 1B",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040327029",
            "telephone_number": "207-865-0004",
            "fax_number": "207-865-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVESTER",
        "first_name": "GARY",
        "middle_name": "R",
        "credential": "MS, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT2761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.