Individual provider Active NPI

Deborah Cavanaugh, PT, MS

  • Physical Therapist
  • Westbrook, ME
National Provider Identifier
1366547721
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3395 Issued in ME
Practice address
1 Westbrook CMN Ste 2
Westbrook, ME 04092-2804
Phone
(207) 854-1239
NPI assigned
Sep 13, 2006
Last updated
Jan 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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 3395 ME Primary

Addresses

Primary practice location

1 Westbrook CMN Ste 2
Westbrook, ME 04092-2804

Mailing address

16 Littlejohn Rd
Cape Eliz, ME 04107-1800
Phone (207) 899-1407

Other names 1

  • Deborah Keith Noel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3395MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Maine Physical Therapy, PA Physical Therapist CurrentSince Feb 1, 2013 Accepting new patients
Southern Maine Physical Therapy Physical Therapist CurrentSince Feb 1, 2013 Accepting new patients
Maine Strong Physical Therapy PA Physical Therapist CurrentSince May 18, 2022 Accepting new patients
Elderfit Physical Therapy and Consulting Inc. Physical Therapist PastSince Oct 26, 2012 Accepting new patients

Locations

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

380 Western Ave
South Portland, ME 04106
Phone (207) 282-5110

449 Cottage Rd
South Portland, ME 04106
Phone (207) 799-9700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1366547721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LITTLEJOHN RD",
            "city": "CAPE ELIZ",
            "state": "ME",
            "postal_code": "041071800",
            "telephone_number": "207-899-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WESTBROOK CMN STE 2",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922804",
            "telephone_number": "207-854-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "DEBORAH",
        "credential": "PT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "3395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "NOEL",
            "middle_name": "KEITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westbrook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.