Individual provider Active NPI

Chad A Flagg, MPT

  • Physical Therapist
  • Kennebunk, ME
National Provider Identifier
1114906385
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3086 Issued in ME
Practice address
83 Portland Rd
Suite #3
Kennebunk, ME 04043-6603
Phone
(207) 985-6181
Fax
(207) 985-6239
NPI assigned
Jan 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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 PT3086 ME Primary

Addresses

Primary practice location

83 Portland Rd
Suite #3
Kennebunk, ME 04043-6603

Mailing address

83 Portland Rd
Suite 3
Kennebunk, ME 04043-6603
Phone (207) 985-6181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060118000348 ME Practitioner - Physical Therapist in Private Practice 3870517832 Reassigns benefits to 1 organization
I20220207001930 NH Practitioner - Physical Therapist in Private Practice 3870517832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saco Bay Orthopaedic and Sports Physical Therapy IncGroup PAC ID 9537069265, shared by 4 NPIs, 137 clinicians

Practice addresses (Care Compare)

400 N St
Suite 2
Saco, ME 04072-1867
Phone (207) 282-7121

75 Newport Rd
Unit 4
New London, NH 03257-5467
Phone (603) 526-2781

8 Dunkin Run
East Waterboro, ME 04030-5437
Phone (207) 977-4731

8 Market Place Dr
York, ME 03909-1693
Phone (207) 363-0888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT3086MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc Physical Therapist CurrentSince Jan 1, 2006 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Jan 1, 2006 Accepting new patients

Locations

83 Portland Rd
Ste 3
Kennebunk, ME 04043
Phone (207) 982-6181

400 North St
#2
Saco, ME 04072
Phone (207) 282-7121

49 Spring St
Scarborough, ME 04074
Phone (207) 883-1414

75 Newport Rd
Unit 4
New London, NH 03257
Phone (603) 526-2781

Organizations & group practices 3

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": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1114906385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 PORTLAND RD",
            "address_2": "SUITE 3",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436603",
            "telephone_number": "207-985-6181",
            "fax_number": "207-985-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 PORTLAND RD",
            "address_2": "SUITE #3",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436603",
            "telephone_number": "207-985-6181",
            "fax_number": "207-985-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAGG",
        "first_name": "CHAD",
        "middle_name": "A",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennebunk, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.