William P Anderson III, PT, DPT

Individual provider Active NPI Physical Therapist · Scarborough, ME

NPI 1164074779 · NPPES record last updated Dec 14, 2019

Key facts

NPI
1164074779
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT2848 (ME)
Practice address
23 Hannaford Dr
Scarborough, ME 04074-9057
Phone
(207) 707-5300
Fax
(207) 208-8775
NPI assigned
Jul 13, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Physical Therapy Associates Physical Therapist Current
since Dec 22, 2019
Accepting new patients

Locations

23 Hannaford Dr
Scarborough, ME 04074
Phone (207) 707-5300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X
Physical Therapist 225100000X PT2848 ME Yes

Addresses

Primary practice location

23 Hannaford Dr
Scarborough, ME 04074-9057

Mailing address

110 Marginal Way # 964
Portland, ME 04101-2442
Phone (207) 707-5300

Other providers in Scarborough, ME

All providers in Scarborough, ME · Physical Therapist in Maine

Sources for this page

Verify at the official NPI Registry.