Sunbury Primary Care, P.a.
Organization Active NPI Physical Therapist · Bangor, ME
NPI 1124113345 · NPPES record last updated Jan 21, 2009
Key facts
- NPI
- 1124113345
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- SUNBURY PRIMARY CARE, P.A.
- Practice address
- 133 Corporate Drive
Suite 2
Bangor, ME 04401 - Phone
- (207) 992-9286
- Fax
- (207) 992-9287
- NPI assigned
- Oct 4, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SUNBURY PRIMARY CARE, P.A.
Authorized official
- Name
- David L Savell
- Title
- Chief Executive Officer
- Phone
- (207) 942-7650
Parent organization (reported in NPPES) 1
Practitioners 11
-
Jaime Beals, PT
-
Shirley Blake, PT
-
Noreen Delorey, PT
-
Susan Fickett, OTR
-
Jenna R. Labbe, PT
-
Erin Pelletier, PT
-
Cheryl Willis, PTA
-
Thomas Joseph Boutaugh, MSPT
National Provider Directory
- Part of
- Sunbury Primary Care PA
Locations
133 Corporate Dr
#2
Bangor, ME 04401
Phone (207) 992-9286
133 Corporate Dr
Ste 2
Bangor, ME 04401
Phone (207) 992-9286
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Physical Therapy Assistant |
225200000X | |||
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
133 Corporate Drive
Suite 2
Bangor, ME 04401
Mailing address
PO Box 921
Bangor, ME 04402-0921
Phone (207) 990-0864
Other names
- Sunbury Physical and Occupational Therapy
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.