NPIMap

Organization Active NPI

Casco Bay Physical Therapy PA

  • Physical Therapist
  • Falmouth, ME
National Provider Identifier
1346261070
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CASCO BAY PHYSICAL THERAPY PA
Practice address
367 US Route 1
Falmouth, ME 04105-1350
Phone
(207) 781-5540
Fax
(207) 781-5542
NPI assigned
Jul 21, 2006
Last updated
Jan 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Sharon A Brawn
Title
Office Manager
Phone
(207) 781-5540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

367 US Route 1
Falmouth, ME 04105-1350

Mailing address

367 US Route 1
Falmouth, ME 04105-1350
Phone (207) 781-5540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070724000137 ME Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4587765367 Receives reassigned benefits from 6 practitioners
Practice locations: Falmouth, ME; South Portland, ME

National Provider Directory

National Provider Directory

Locations

367 US Route 1
Falmouth, ME 04105
Phone (207) 781-5540

Practitioners & affiliated clinicians

Practitioners 8

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1346261070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 US ROUTE 1",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051350",
            "telephone_number": "207-781-5540",
            "fax_number": "207-781-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 US ROUTE 1",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051350",
            "telephone_number": "207-781-5540",
            "fax_number": "207-781-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCO BAY PHYSICAL THERAPY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "BRAWN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "207-781-5540"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.