NPIMap

Organization Active NPI

Scarborough Physical Therapy Associates, P.a.

  • Physical Therapy Clinic/Center
  • Scarborough, ME
National Provider Identifier
1316006737
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SCARBOROUGH PHYSICAL THERAPY ASSOCIATES, P.A.
Practice address
51 U.S. Route One
Scarborough, ME 04074
Phone
(207) 883-1227
Fax
(207) 883-6199
NPI assigned
Dec 8, 2006
Last updated
Aug 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Authorized official

Name
June D Tait, PT
Title
President
Phone
(207) 883-1227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

51 U.S. Route One
Scarborough, ME 04074

Mailing address

51 U.S. Route One
Nonesuch River Plaza, Suite J
Scarborough, ME 04074
Phone (207) 883-1227

Other identifiers 3

IdentifierTypeStateIssuer
126700000MedicaidME
Q0859OtherMEANTHEM
CA3341OtherMERR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329001151 ME Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4587556915 Receives reassigned benefits from 19 practitioners
Practice locations: Scarborough, ME

National Provider Directory

National Provider Directory

Locations

51 US Route 1
Ste J
Scarborough, ME 04074
Phone (207) 781-8358

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1316006737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 U.S. ROUTE ONE",
            "address_2": "NONESUCH RIVER PLAZA, SUITE J",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-883-1227",
            "fax_number": "207-883-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 U.S. ROUTE ONE",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-883-1227",
            "fax_number": "207-883-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCARBOROUGH PHYSICAL THERAPY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "TAIT",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-883-1227",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126700000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "Q0859",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CA3341",
            "state": "ME"
        }
    ],
    "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 Aug 29, 2013; 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.