Individual provider Active NPI

Sachin Hawaldar, MPT

  • Physical Therapist
  • Dover Foxcroft, ME
National Provider Identifier
1366939159
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4195 Issued in ME
Practice address
1037 W Main St
Dover Foxcroft, ME 04426-3752
Phone
(207) 564-8129
NPI assigned
Apr 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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 PT4195 ME Primary

Addresses

Primary practice location

1037 W Main St
Dover Foxcroft, ME 04426-3752

Mailing address

529 Quaker Ridge Rd
Greene, ME 04236-3642

Other identifiers 1

IdentifierTypeStateIssuer
6105340OtherMEMAINE DRIVER'S LICENSE

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

State licenses

LicenseStateTypeSpecialty
PT4195MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Concorde Rehab Inc. CurrentSince Apr 9, 2024 Accepting new patients

Locations

1120 E Long Lake Rd
Ste 100
Troy, MI 48085
Phone (248) 729-7180

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1366939159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 QUAKER RIDGE RD",
            "city": "GREENE",
            "state": "ME",
            "postal_code": "042363642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 W MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044263752",
            "telephone_number": "207-564-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWALDAR",
        "first_name": "SACHIN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE DRIVER'S LICENSE",
            "identifier": "6105340",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover Foxcroft, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.