Active NPI
Jason Burtchell
- Physical Therapist
- Auburn, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2594
- Practice address
- 32 Sunderland Dr
Auburn, ME 04210-9233 - Phone
- (207) 707-1409
- Fax
- (833) 544-0823
- NPI assigned
- Jul 22, 2015
- Last updated
- Dec 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2594 | ME | Primary |
Addresses
Primary practice location
32 Sunderland Dr
Auburn, ME 04210-9233
Mailing address
32 Sunderland Dr
Auburn, ME 04210-9233
Phone (207) 707-1409
Other practice location 1
300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111
Other practice location 2
23 Aldrich Ave
Norway, ME 04268-5709
Phone (207) 707-1409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Northwestern University Feinberg Medical School, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
41 Stevens Mill Rd
Auburn, ME 04210-4037
Phone (207) 707-5058
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilience Physical Therapy and Wellness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
41 Stevens Mill Rd
Auburn, ME 04210
23 Aldrich Ave
Norway, ME 04268
Phone (207) 707-1409
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Auburn, ME
- NPI 1659983021
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1114302023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 SUNDERLAND DR",
"city": "AUBURN",
"state": "ME",
"postal_code": "042109233",
"telephone_number": "207-707-1409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 SUNDERLAND DR",
"city": "AUBURN",
"state": "ME",
"postal_code": "042109233",
"telephone_number": "207-707-1409",
"fax_number": "833-544-0823"
}
],
"practiceLocations": [
{
"address_1": "300 Main St",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "ME",
"postal_code": "042407027",
"country_code": "US",
"telephone_number": "207-795-0111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23 Aldrich Ave",
"address_purpose": "LOCATION",
"city": "Norway",
"state": "ME",
"postal_code": "042685709",
"country_code": "US",
"telephone_number": "207-707-1409",
"fax_number": "833-544-0823",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURTCHELL",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-22",
"last_updated": "2020-12-28",
"certification_date": "2020-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT2594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.