Individual provider Active NPI

Jason Adour

  • Physical Therapist
  • Scarborough, ME
National Provider Identifier
1285950899
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4165 Issued in ME
Practice address
400 Enterprise Dr
Scarborough, ME 04074-7662
Phone
(207) 400-7604
NPI assigned
Apr 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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 PT4165 ME Primary

Addresses

Primary practice location

400 Enterprise Dr
Scarborough, ME 04074-7662

Mailing address

400 Enterprise Dr
Scarborough, ME 04074-7662
Phone (207) 400-7604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100701000505 MA Practitioner - Physical Therapist in Private Practice 8123159365 Reassigns benefits to 1 organization
I20170419000365 ME Practitioner - Physical Therapist in Private Practice 8123159365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maine Strong Physical Therapy PAGroup PAC ID 8224313143, 30 clinicians

Practice addresses (Care Compare)

15 Lund Rd
Unit 104
Saco, ME 04072-1806
Phone (207) 494-8029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Strong Physical Therapy PA Physical Therapist CurrentSince Feb 24, 2017 Accepting new patients
Healthy Edge Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Harmeling Physical Therapy & Sports Fitness, Inc. Physical Therapist Past Accepting new patients

Locations

15 Lund Rd
Unit 104
Saco, ME 04072
Phone (207) 303-0612

400 Enterprise Dr
Ste 4
Scarborough, ME 04074
Phone (207) 303-0612

380 Western Ave
South Portland, ME 04106
Phone (207) 233-7731

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1285950899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ENTERPRISE DR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747662",
            "telephone_number": "207-400-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ENTERPRISE DR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747662",
            "telephone_number": "207-400-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADOUR",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.