Susan Ruth Lifer, PT

Individual provider Active NPI Orthopedic Physical Therapist · Lincoln, ME

NPI 1124095419 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1124095419
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Physical Therapist 2251X0800X
License
PT#618 (ME)
Practice address
100 Taylor St
Lincoln, ME 04457-1167
Phone
(207) 794-8025
NPI assigned
Mar 5, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT#618MEMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT#618 ME
Ergonomics Physical Therapist 2251E1200X PT#618 ME
Geriatric Physical Therapist 2251G0304X PT#618 ME
Neurology Physical Therapist 2251N0400X PT#618 ME
Pediatric Physical Therapist 2251P0200X PT#618 ME
Orthopedic Physical Therapist 2251X0800X PT#618 ME Yes

Addresses

Primary practice location

100 Taylor St
Lincoln, ME 04457-1167

Mailing address

100 Taylor St
Lincoln, ME 04457-1167
Phone (207) 794-8025

Other identifiers

IdentifierTypeStateIssuer
024694OtherMEANTHEM BC/BS
5312641OtherMEAETNA PROVIDER ID

Other providers in Lincoln, ME

All providers in Lincoln, ME · Orthopedic Physical Therapist in Maine

Sources for this page

Verify at the official NPI Registry.