Organization Active NPI

Pinnacle Rehabilitation Network, LLC

Doing business as Proactive Physical Therapy

  • Physical Therapist
  • Lewiston, ME
National Provider Identifier
1285813246
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PINNACLE REHABILITATION NETWORK, LLC
Doing business as
Proactive Physical Therapy
Practice address
1190 Lisbon St Unit 101
Lewiston, ME 04240-5063
Phone
(207) 376-3000
Fax
(207) 376-3003
NPI assigned
Oct 26, 2007
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PINNACLE REHABILITATION NETWORK LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Amanda Taylor
Title
VP of Operations
Phone
(978) 388-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1190 Lisbon St Unit 101
Lewiston, ME 04240-5063

Mailing address

73 Newton Rd Unit 101
Plaistow, NH 03865-2440
Phone (978) 388-7272

Other names 1

  • Proactive Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120830000519 ME Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7618872086 Receives reassigned benefits from 35 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Topsham, ME; Brunswick, ME; Scarborough, ME; Saco, ME; Portland, ME; Lewiston, ME; Gorham, ME; Freeport, ME…

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Rehab Net LLC34 organizations share this tax ID, including this one
Part of
Pinnacle Rehab Net LLC

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Locations

1190 Lisbon St
Ste 101
Lewiston, ME 04240

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1285813246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NEWTON RD UNIT 101",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652440",
            "telephone_number": "978-388-7272",
            "fax_number": "978-388-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 LISBON ST UNIT 101",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405063",
            "telephone_number": "207-376-3000",
            "fax_number": "207-376-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE REHABILITATION NETWORK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE REHABILITATION NETWORK LLC",
        "enumeration_date": "2007-10-26",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "978-388-7272"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proactive Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Proactive Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.