Individual provider Active NPI

Thomas M Harrigan, PT

  • Physical Therapist
  • York, ME
National Provider Identifier
1174649073
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT934 Issued in ME
Practice address
48 Mallard Dr
York, ME 03909-1361
Phone
(207) 363-7079
Fax
(207) 363-7700
NPI assigned
Mar 22, 2007
Last updated
Feb 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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 PT934 ME Primary

Addresses

Primary practice location

48 Mallard Dr
York, ME 03909-1361

Mailing address

48 Mallard Dr
York, ME 03909-1361
Phone (207) 363-7079

Other identifiers 2

IdentifierTypeStateIssuer
138140000MedicaidME
30760356MedicaidNH

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT934MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Harrigan Physical Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1174649073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MALLARD DR",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091361",
            "telephone_number": "207-363-7079",
            "fax_number": "207-363-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MALLARD DR",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091361",
            "telephone_number": "207-363-7079",
            "fax_number": "207-363-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIGAN",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138140000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30760356",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.