Individual provider Active NPI

Audrey Robinson

  • Physical Therapist
  • Westbrook, ME
National Provider Identifier
1164978771
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4654 Issued in ME
Practice address
300 Spring St
Westbrook, ME 04092-3915
Phone
(207) 856-1230
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4654 ME Primary

Addresses

Primary practice location

300 Spring St
Westbrook, ME 04092-3915

Mailing address

3028 SW 153Rd Dr
Beaverton, OR 97003-5116

Other identifiers 1

IdentifierTypeStateIssuer
W183304560OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210315002611 OR Practitioner - Physical Therapist in Private Practice 2264848316 Reassigns benefits to 1 organization
I20230426002806 ME Practitioner - Physical Therapist in Private Practice 2264848316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saco Bay Orthopaedic and Sports Physical Therapy IncGroup PAC ID 9537069265, 137 clinicians

Practice addresses (Care Compare)

45 Western Ave
South Portland, ME 04106-2411
Phone (207) 772-2625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Associates Inc Physical Therapist Current Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Apr 15, 2023 Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Therapeutic Associates, Inc Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Apr 15, 2023 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc Physical Therapist Current Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

400 North St
#2
Saco, ME 04072
Phone (207) 282-7121

45 Western Ave
South Portland, ME 04106
Phone (207) 347-0511

16315 SW Barrows Rd
Ste 205
Beaverton, OR 97007
Phone (503) 521-0500

996 NW Circle Blvd
Ste 101
Corvallis, OR 97330
Phone (541) 757-0878

702 SW Ramsey Ave
Ste 220
Grants Pass, OR 97527
Phone (541) 479-0765

5920 NE Ray Cir
Ste 160
Hillsboro, OR 97124
Phone (503) 844-9294

5955 Shoreview Ln N
Ste 100
Keizer, OR 97303
Phone (503) 463-4221

10215 SW Parkway
Ste D
Portland, OR 97225
Phone (503) 292-3583

8028 NE Glisan St
Ste B
Portland, OR 97213
Phone (503) 253-0924

2040 NW Newcastle St
Roseburg, OR 97471
Phone (541) 673-1808

58147 Columbia River Hwy
Ste A
Saint Helens, OR 97051
Phone (503) 397-1914

20055 SW Pacific Hwy
Ste 110
Sherwood, OR 97140
Phone (503) 625-1691

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

29100 SW Town Center Loop W
Ste 190
Wilsonville, OR 97070
Phone (503) 570-7600

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1164978771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 SW 153RD DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970035116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SPRING ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923915",
            "telephone_number": "207-856-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "AUDREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2024-02-23",
        "certification_date": "2021-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "W183304560",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.