Organization Active NPI

Foundations Physical Therapy LLC

  • Physical Therapist
  • Falmouth, ME
National Provider Identifier
1255675286
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3029 Issued in ME
Legal business name
FOUNDATIONS PHYSICAL THERAPY LLC
Practice address
4 Fundy Rd
Suite 101
Falmouth, ME 04105-1777
Phone
(207) 899-4307
Fax
(207) 899-4312
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Mr. Cesar Viola, MPTNPI 1649249343
Title
Owner/PT
Phone
(207) 899-4307

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 3029 ME Primary

Addresses

Primary practice location

4 Fundy Rd
Suite 101
Falmouth, ME 04105-1777

Mailing address

4 Fundy Rd
Suite 101
Falmouth, ME 04105-1777
Phone (207) 899-4307

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121219000194 ME Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2062664154 Receives reassigned benefits from 1 practitioner
Practice locations: Falmouth, ME

National Provider Directory

National Provider Directory

Locations

4 Fundy Rd
Ste 101
Falmouth, ME 04105
Phone (207) 899-4307

390 US Route 1
Unit 4
Falmouth, ME 04105
Phone (207) 899-4307

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1255675286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FUNDY RD",
            "address_2": "SUITE 101",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051777",
            "telephone_number": "207-899-4307",
            "fax_number": "207-899-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FUNDY RD",
            "address_2": "SUITE 101",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051777",
            "telephone_number": "207-899-4307",
            "fax_number": "207-899-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "VIOLA",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "207-899-4307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "3029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.