Beane Family Ventures Inc.
Organization Active NPI Physical Therapy Clinic/Center · Ellsworth, ME
NPI 1386599488 · NPPES record last updated Mar 3, 2026
Key facts
- NPI
- 1386599488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- BEANE FAMILY VENTURES INC.
- Practice address
- 75 Washington St Ste 2
Ellsworth, ME 04605-2104 - Phone
- (207) 544-9640
- Fax
- (207) 433-1246
- NPI assigned
- Mar 3, 2026
- Organization subpart
- Yes
- Parent organization (as reported)
- BEANE FAMILY VENTURES INC.
Authorized official
- Name
- William Terry Beane
- Title
- Owner
- Phone
- (207) 951-0466
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 1
Practitioners 5
-
Anne Johnson, DPT
-
Stephanie Maguire, PT, DPT
-
Renee Marie Moran, P.T.
-
Tara Gravit, PT
-
Colin Seth King, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240716004799 | ME | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 8022455484 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bangor, ME; Ellsworth, ME |
National Provider Directory
- Tax ID family
- Beane Family Ventures Inc
- Part of
- Beane Family Ventures Inc
Locations
75 Washington St
#2
Ellsworth, ME 04605
Phone (207) 544-9640
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
75 Washington St Ste 2
Ellsworth, ME 04605-2104
Mailing address
75 Washington St Ste 2
Ellsworth, ME 04605-2104
Phone (207) 544-9640
Other names
- FYZICAL Ellsworth
- FYZICAL Therapy & Balance Center
Other providers in Ellsworth, ME
- Elizabeth Barbato
- Jessica Barbay
- Bay View Physical Therapy Limited Partnership
- Bayview Center for Mental Health
- Adrienne Beal
- Mary E. Beatham
- Kenneth A. Beattie
- Bella Point Inc
- Lynn Benson
- Julia Bentley
All providers in Ellsworth, ME · Physical Therapy Clinic/Center in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.