Saco Bay Orthopaedic and Sports Physical Therapy, Inc.
Organization Active NPI Physical Therapy Clinic/Center · Old Town, ME
NPI 1154096238 · NPPES record last updated Jan 14, 2026
Key facts
- NPI
- 1154096238
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC.
- Practice address
- 601 Stillwater Ave Ste 5
Old Town, ME 04468-2215 - Phone
- (207) 817-0214
- NPI assigned
- Aug 11, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- SELECT MEDICAL CORPORATION
Authorized official
- Name
- John F Duggan
- Title
- Chief Legal Officer
- Phone
- (717) 972-1100
Other NPIs on the same Medicare enrollment 19
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 40
Member of 3
Practitioners 137
-
Kyle Deliberty, DPT, ATC
-
Dakota Krol, DPT
-
Armel Mendoza, PT
-
Jessica A Abbott, DPT
-
Kevin Aylward, PT, DPT
-
Jill Beaucage, P.T.
-
Emma Riley Blomstrom, PT, DPT
-
Samantha Bowdenwood, DPT
-
Arthur A Chase, PT
-
Courtney L Churchill, DPT
-
Grace Anne Clark, PT, DPT
-
Jill Marie Cramp, PT
-
Ryan B Cyr, PT
-
Kayla D David, PT, DPT
-
Robert R. Denton, PT
-
Angelica Dixon, PT
-
Seth Ira Fineman, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040109000951 | ME | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 9537069265 |
Receives reassigned benefits from 173 practitioners 19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Portland, ME; Saco, ME; Scarborough, ME; South Portland, ME; Standish, ME; Topsham, ME; Wells, ME; Westbrook, ME… |
| O20220406002360 | ME | DME Supplier - Independently-Practicing Physical Therapist |
9537069265 | Practice locations: Old Town, ME |
National Provider Directory
- Tax ID family
- Saco Bay Orthopaedic and Sports Physical Therapy Inc
- Part of
- Select Medical Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
601 Stillwater Ave Ste 5
Old Town, ME 04468-2215
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Other names
- SACO BAY ORTHOPAEDIC SPORTS & PHYSICAL THERAPY
Other providers in Old Town, ME
- Alton Robbins
- Charles A Roberts
- Chandra Mae Rogers
- Jonathan Roy
- Shyla L Russell
- Lorraine Sarullo
- Laura J Scott
- Jonathan D Shaw
- Smart Chiropractic
- Nicole J Smith-Sandilands
All providers in Old Town, ME · Physical Therapy Clinic/Center in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.