Active NPI
Mary Catherine Burke, PT, DPT
- Physical Therapist
- South Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5937
- Practice address
- 50 Foden Rd
South Portland, ME 04106-1718 - Phone
- (207) 780-8860
- Fax
- (207) 523-8584
- NPI assigned
- Jun 3, 2021
- Last updated
- Mar 3, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5937 | ME | Primary |
| Pediatric Physical Therapist | 2251P0200X | PT5937 | ME |
Addresses
Primary practice location
50 Foden Rd
South Portland, ME 04106-1718
Mailing address
100 Gannett Dr Ste C
South Portland, ME 04106-5900
Phone (207) 347-2947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210615001300 | ME | Practitioner - Physical Therapist in Private Practice | 3476953373 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5937 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermed, PA | Physical Therapist | Current | Accepting new patients |
| Intermed, PA | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy Holdings Inc | Past | Accepting new patients |
Locations
100 Foden Rd
South Portland, ME 04106
Phone (207) 828-1122
100 Foden Rd
Ste 205
South Portland, ME 04106
Phone (207) 780-8860
100 Foden Rd
Ste W-100
South Portland, ME 04106
Phone (207) 523-3900
100 Gannett Dr
Ste C
South Portland, ME 04106
Phone (207) 523-3649
50 Foden Rd
South Portland, ME 04106
Phone (207) 523-3700
Interoperability endpoints
- mary.burke@int.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
dba Saco Bay Orthopaedic & Sports Physical Therapy
- Physical Therapy Clinic/Center
- Auburn, ME
- NPI 1699735407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1396311965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GANNETT DR STE C",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041065900",
"telephone_number": "207-347-2947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 FODEN RD",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041061718",
"telephone_number": "207-780-8860",
"fax_number": "207-523-8584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "MARY",
"middle_name": "CATHERINE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-03",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT5937",
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "ME",
"license": "PT5937",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.