Holly Sanborn

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5287 Issued in ME

Practice address

479 Hancock Pond Rd
Sebago, ME 04029-3004

Phone

(610) 983-4010

NPI assigned

Aug 19, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Androscoggin Home Health Services, Inc

  • Internal Medicine Physician
  • Lewiston, ME
  • NPI 1013957687

  ME

  Medicare reassignment NPD
• Androscoggin Home Health Services, Inc.

  • Occupational Therapist
  • Lewiston, ME
  • NPI 1518573666

  Physical Therapist

  NPD
• Androscoggin Home Health Services, Inc.

  • Developmental Therapist
  • Lewiston, ME
  • NPI 1962646844

  Physical Therapist

  NPD
• Keystone Rehabilitation Systems Inc

  • Physical Therapy Clinic/Center
  • Phoenixville, PA
  • NPI 1306134150
  NPD (past)
• Keystone Rehabilitation Systems, Inc.

  • Physical Therapy Clinic/Center
  • Butler, PA
  • NPI 1336878941
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1144500380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 HANCOCK POND RD",
            "city": "SEBAGO",
            "state": "ME",
            "postal_code": "040293004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 HANCOCK POND RD",
            "city": "SEBAGO",
            "state": "ME",
            "postal_code": "040293004",
            "telephone_number": "610-983-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANBORN",
        "first_name": "HOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT011405L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi L. Deprey, FNTP, LMT
• Marcella T Hinkell, MS
• Lisa Kolofsky, LCPC-C
• Mentor Abi, LLC
• Enes D Moran Butts, LCSW
• Sebago School Department
• Willard Stitzell, D.O.
• Amanda C Thayer, M.A. CF-SLP
• Town of Sebago
• Catherine Lee Wiley-Farwell, BHP

• All providers in Sebago, ME
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.

Verify at the official NPI Registry.