Active NPI
Nicole Grady, PA, ATC
- Surgical Physician Assistant
- Biddeford, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA2817
- Practice address
- 46 Barra Rd Ste 103
Biddeford, ME 04005-9461 - Phone
- (207) 283-1126
- Fax
- (207) 294-3544
- NPI assigned
- Feb 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT805 | ME | |
| Physician Assistant | 363A00000X | PA2817 | ME | |
| Surgical Physician Assistant | 363AS0400X | PA2817 | ME | Primary |
Addresses
Primary practice location
46 Barra Rd Ste 103
Biddeford, ME 04005-9461
Mailing address
46 Barra Rd Ste 103
Biddeford, ME 04005-9461
Phone (207) 283-1126
Other practice location 1
11 Hills Beach Rd
Biddeford, ME 04005-9526
Phone (207) 283-0171
Other practice location 2
25A June St Ste 16
Sanford, ME 04073-2615
Phone (207) 324-1488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Riverview Physical Therapy Limited Partnership
Practice addresses (Care Compare)
1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 282-4270
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
46 Barra Rd
Suite 201202
Biddeford, ME 04005-9459
Phone (207) 282-3349
50 Forest Falls Dr
Yarmouth, ME 04096-6937
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT805 | ME | MD | Athletic Trainer |
| PA2817 | ME | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Past | Accepting new patients |
Locations
46 Barra Rd
Ste 103
Biddeford, ME 04005
Phone (207) 283-1126
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
25A June St
Ste 016
Sanford, ME 04073
Phone (207) 324-1488
25A June St
Ste 16
Sanford, ME 04073
Phone (207) 324-1488
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.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Pediatric Critical Care Medicine Physician
- Portland, ME
- NPI 1265536817
-
- Clinic/Center
- Portland, ME
- NPI 1487346722
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1356843940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 BARRA RD STE 103",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059461",
"telephone_number": "207-283-1126",
"fax_number": "207-294-3544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 BARRA RD STE 103",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059461",
"telephone_number": "207-283-1126",
"fax_number": "207-294-3544"
}
],
"practiceLocations": [
{
"address_1": "11 Hills Beach Rd",
"address_purpose": "LOCATION",
"city": "Biddeford",
"state": "ME",
"postal_code": "040059526",
"country_code": "US",
"telephone_number": "207-283-0171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25A June St Ste 16",
"address_purpose": "LOCATION",
"city": "Sanford",
"state": "ME",
"postal_code": "040732615",
"country_code": "US",
"telephone_number": "207-324-1488",
"fax_number": "207-490-5733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRADY",
"first_name": "NICOLE",
"credential": "PA, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-28",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "ME",
"license": "AT805",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA2817",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "ME",
"license": "PA2817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.