Richard Bader Physical Therapy, PA

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RICHARD BADER PHYSICAL THERAPY, PA

Practice address

176 Main St
Norway, ME 04268-5643

Phone

(207) 743-5493

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Richard Bader, P.T.

Title

President

Phone

(207) 743-5493

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendy A Richards, MS PT, DPT

  • Physical Therapist
  • Portland, ME
  • NPI 1033166939
  NPD (past)
• Constance Slater, P.T.

  • Physical Therapist
  • Bridgton, ME
  • NPI 1811002298
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1376648303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MAIN ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685643",
            "telephone_number": "207-743-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MAIN ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685643",
            "telephone_number": "207-743-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD BADER PHYSICAL THERAPY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "BADER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-743-5493",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134710000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "MM8886",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shantanu N Razdan, M.D.
• Allan E Reis, MD
• Christine M Renaud, LCSW
• Resilience Physical Therapy and Wellness, LLC
• Nancy Rich, D.P.T
• Paulle Jeanne Richard, CPNP
• Chester Josiah Richardson, APRN
• Ridesource Inc.
• Riverstones Counseling, LLC
• Tayla Kathleen Roberts, APRN-CNP

• Physical Therapist in Norway, ME
• Providers in Norway, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.