Active NPI
Physical and Functional Medicine Incorporated
- Physical Medicine & Rehabilitation Physician
- Portland, ME
National Provider Identifier
1134572316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- PHYSICAL AND FUNCTIONAL MEDICINE INCORPORATED
- Practice address
- 335 Brighton Ave
Portland, ME 04102-2363 - Phone
- (347) 495-0357
- NPI assigned
- Jul 22, 2016
- Last updated
- Apr 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Evan Savage
- Title
- President
- Phone
- (207) 784-2554
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | Primary |
Addresses
Primary practice location
335 Brighton Ave
Portland, ME 04102-2363
Mailing address
PO Box C
Freeport, ME 04032-0910
Phone (207) 775-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Portland, ME
- NPI 1740546126
-
- Family Nurse Practitioner
- Scarborough, ME
- NPI 1972085140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776643200000",
"number": "1134572316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX C",
"city": "FREEPORT",
"state": "ME",
"postal_code": "040320910",
"telephone_number": "207-775-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 BRIGHTON AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022363",
"telephone_number": "347-495-0357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL AND FUNCTIONAL MEDICINE INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-22",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A",
"authorized_official_last_name": "SAVAGE",
"authorized_official_first_name": "EVAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "207-784-2554"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
- Katherine Read Phillips, LCSW
- Rachel S Phillips, MS, OTR
- Stephanie G Phillips, M.A., J.D., LMFT
- Adi Michelle Philpott, DO
- Mojabeng Phoofolo, M.D.
- Physical Rehabilitation of Southern Maine PC (Mary Macy MD)
- Bernadeth Lyn Cal Piamonte, MD
- Gretchen A. Pianka, M.D.
- Michelle Anne Picard, CRNA
- Alan Picarillo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.