Individual provider Active NPI

Jennifer Adrienne McAuley, PT

  • Orthopedic Physical Therapist
  • Portland, ME
National Provider Identifier
1114242880
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3989 Issued in ME
Practice address
619 Brighton Ave Ste 101
Portland, ME 04102-2373
Phone
(207) 879-7510
NPI assigned
Apr 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3989 ME
Orthopedic Physical Therapist 2251X0800X 026391 NY
Orthopedic Physical Therapist 2251X0800X 3989 ME Primary

Addresses

Primary practice location

619 Brighton Ave Ste 101
Portland, ME 04102-2373

Mailing address

75 Mabel St
Portland, ME 04103-2514
Phone (207) 553-0398

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121203000005 ME Practitioner - Physical Therapist in Private Practice 8628021276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Vermont College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

619 Brighton Ave
Suite 101
Portland, ME 04102-2373
Phone (207) 553-0398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3989MEMDOrthopedic Physical Therapist
026391NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adrienne McAuley Physical Therapy LLC Physical Therapist CurrentSince Feb 18, 2024 Accepting new patients
H&D Dynamic Physical & Occupational Therapy, PLLC Physical Therapist Past Accepting new patients
Wellness for Women PLLC PastSince Aug 21, 2019 Accepting new patients
H&D Physical Therapy & Occupational Therapy PLLC Physical Therapist Past Accepting new patients

Locations

50 Portland Rd
Ste 4
Kennebunk, ME 04043
Phone (207) 502-7400

50 Portland Rd
Kennebunk, ME 04043

619 Brighton Ave
Ste 101
Portland, ME 04102
Phone (207) 358-8161

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19754/brand/1/csg/1/fhir/r4

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": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1114242880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MABEL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032514",
            "telephone_number": "207-553-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 BRIGHTON AVE STE 101",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022373",
            "telephone_number": "207-879-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAULEY",
        "first_name": "JENNIFER",
        "middle_name": "ADRIENNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "3989",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "026391",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ME",
            "license": "3989",
            "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 Dec 28, 2023; 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.