Individual provider Active NPI

Emily Mauch

  • Physical Therapist
  • Topsham, ME
National Provider Identifier
1336633965
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5100 Issued in ME
Practice address
11 Bowdoin Mill Is # 220
Topsham, ME 04086-1263
Phone
(207) 729-1164
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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 5100 ME Primary

Addresses

Primary practice location

11 Bowdoin Mill Is # 220
Topsham, ME 04086-1263

Mailing address

8 Simonton St
South Portland, ME 04106-3132

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180809004960 ME Practitioner - Physical Therapist in Private Practice 0345598165 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5100MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Brunswick Physical Therapy P.a. Physical Therapist CurrentSince Aug 27, 2018 Accepting new patients

Locations

11 Bowdoin Mill Is
Ste 220
Topsham, ME 04086
Phone (207) 729-1164

11 Bowdoin Mill Is
Ste 260
Topsham, ME 04086
Phone (207) 729-1164

Organizations & group practices 1

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1336633965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SIMONTON ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BOWDOIN MILL IS # 220",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861263",
            "telephone_number": "207-729-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUCH",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "5100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topsham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.