Koru Physical Therapy and Wellness, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT3294 Issued in ME

Legal business name

KORU PHYSICAL THERAPY AND WELLNESS, PLLC

Practice address

619 Brighton Ave # 101
Portland, ME 04102-2323

Phone

(207) 358-8161

Fax

(207) 352-5111

NPI assigned

Feb 19, 2018

Last updated

Feb 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Allison Rena Lamarre Poole, PTNPI 1891962924

Title

Manager, Owner

Phone

(207) 358-8161

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allison Rena Lamarre Poole, P.T.

  • Physical Therapist
  • Portland, ME
  • NPI 1891962924
  Authorized official Same address or phone

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518998400000",
    "number": "1275033078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LEONARD ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032513",
            "telephone_number": "207-712-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 BRIGHTON AVE # 101",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022323",
            "telephone_number": "207-358-8161",
            "fax_number": "207-352-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORU PHYSICAL THERAPY AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "RENA LAMARRE",
        "authorized_official_title_or_position": "MANAGER, OWNER",
        "authorized_official_telephone_number": "207-358-8161",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ME",
            "license": "PT3294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kontio
• Samantha Faith Kopack, LCPC
• Andrea Korda-Willerson
• Ellen Louise Kornetsky, M.S.W., L.C.S.W.
• Galina V Korsunsky, M.D.
• Laurin Koskinen, MD
• Kathleen Kosnow
• Alena Fedorovna Kosolapova, MD
• K. Erik Kostelnik, M.D.
• Kailey Jean Kowalski, DO

• Physical Therapy Clinic/Center in Portland, ME
• Providers in Portland, ME by specialty
• Physical Therapy Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.