Daniel Juan Alvarez
Individual provider Active NPI Physical Therapist · Ellsworth, ME
NPI 1215768684 · NPPES record last updated Jul 17, 2025
Key facts
- NPI
- 1215768684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT41965 (FL)
- Practice address
- 248 State St Ste 3a
Ellsworth, ME 04605-1850 - Phone
- (207) 667-4278
- Fax
- (207) 667-4279
- NPI assigned
- Aug 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
625 Kenmoor Ave SE
Suite 100
Grand Rapids, MI 49546-2395
PO Box
Boston, MA 02284
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250723002245 | ME | Practitioner - Physical Therapist in Private Practice | 2769998996 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT41965 | FL | MD | Neurology Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back in Motion Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
248 State St
Ste 3A
Ellsworth, ME 04605
Phone (207) 667-4278
94 Main St
Gorham, ME 04038
Phone (207) 839-5225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT41965 | FL | Yes |
| Neurology Physical Therapist | 2251N0400X | PT41965 | FL |
Addresses
Primary practice location
248 State St Ste 3a
Ellsworth, ME 04605-1850
Mailing address
544 Whispering Wind BND
Lehigh Acres, FL 33974-5900
Phone (954) 249-6632
Other providers in Ellsworth, ME
- Charles Beatty Alexander
- Mailena Rose Alicea
- Lisa M Allen
- Meaghan Allen
- William Allen
- Jamie L Ames
- Harold Amsel
- Anchored Women'S Health, LLC
- Mercedes Lim Ang
- Appletree Psychiatry, LLC
All providers in Ellsworth, ME · Physical Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2025. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.