Individual provider Active NPI

Michael Louis Viricel, MSPT

  • Physical Therapist
  • Westbrook, ME
National Provider Identifier
1225007503
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2543 Issued in ME
Practice address
23 Bridgton Rd
Suite 2
Westbrook, ME 04092-3653
Phone
(207) 797-3477
Fax
(207) 797-8577
NPI assigned
Mar 17, 2006
Last updated
Sep 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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 PT2543 ME Primary

Addresses

Primary practice location

23 Bridgton Rd
Suite 2
Westbrook, ME 04092-3653

Mailing address

55 Congress Ave
Suite 6
Bath, ME 04530-1536
Phone (207) 386-0351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050607000784 ME Practitioner - Physical Therapist in Private Practice 8729021159 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Physical Therapy Limited Partnership Physical Therapist CurrentSince Apr 5, 2023 Accepting new patients
Falmouth Physical Therapy Assoc Physical Therapist PastSince Jan 1, 1999 Accepting new patients
Riverview Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients
Coastal Orthopedics & Sports Medicine,P.a. Past Accepting new patients
Coastal Orthopedics & Sports Medicine,P.a. Physical Therapist Past Accepting new patients

Locations

55 Congress Ave
Ste 6
Bath, ME 04530
Phone (207) 386-0351

94 Auburn St
Ste 103
Portland, ME 04103
Phone (207) 797-7578

23 Bridgton Rd
Ste 2
Westbrook, ME 04092
Phone (207) 797-3477

50 Forest Falls Dr
Yarmouth, ME 04096
Phone (207) 846-5111

Organizations & group practices 5

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1225007503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CONGRESS AVE",
            "address_2": "SUITE 6",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045301536",
            "telephone_number": "207-386-0351",
            "fax_number": "207-386-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BRIDGTON RD",
            "address_2": "SUITE 2",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923653",
            "telephone_number": "207-797-3477",
            "fax_number": "207-797-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRICEL",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT2543",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.