Laura Ann Roach, P.T.
Individual provider Active NPI Physical Therapist · Auburn, ME
NPI 1104143601 · NPPES record last updated Apr 23, 2010
Key facts
- NPI
- 1104143601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT3582 (ME)
- Practice address
- 690 Minot Ave
Auburn, ME 04210-3922 - Phone
- (207) 783-3450
- Fax
- (207) 777-3979
- NPI assigned
- Apr 23, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saco Bay Orthopaedic and Sports Physical Therapy Inc
Practice addresses (Care Compare)
1399 Maine St
Poland, ME 04274-7303
Phone (207) 998-5493
400 N St
Suite 2
Saco, ME 04072-1867
Phone (207) 282-7121
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180724002372 | ME | Practitioner - Physical Therapist in Private Practice | 1850648767 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Current |
Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current |
Accepting new patients | |
| Saco Bay Orthopaedic and Sports Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Current |
Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Physical Therapist | Current |
Accepting new patients |
Locations
730 Center St
Ste 9
Auburn, ME 04210
Phone (207) 783-3450
400 North St
#2
Saco, ME 04072
Phone (207) 282-7121
4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3582 | ME | Yes |
Addresses
Primary practice location
690 Minot Ave
Auburn, ME 04210-3922
Mailing address
690 Minot Ave
Auburn, ME 04210-3922
Phone (207) 783-3450
Other providers in Auburn, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.