Michaela Davis

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT7169 Issued in ME

Practice address

601 Stillwater Ave Ste 5
Old Town, ME 04468-2215

Phone

(207) 817-0214

NPI assigned

Sep 18, 2025

Sex

Female

Sole proprietor

No

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.

• Saco Bay Orthopaedic and Sports Physical Therapy, Inc

  • Physical Therapist
  • Saco, ME
  • NPI 1346254315

  ME, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Old Town, ME
  • NPI 1154096238
  Care Compare group
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Hampden, ME
  • NPI 1912675695
  Care Compare group
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • New London, NH
  • NPI 1548837065
  Care Compare group
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc

  • Rehabilitation Clinic/Center
  • Portland, ME
  • NPI 1144788209
  NPD
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Westbrook, ME
  • NPI 1396312807
  NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saco Bay Orthopaedic and Sports Physical Therapy Inc 137 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in ME

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 18, 2025.

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1417829615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 MAIN ST APT 2",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044681727",
            "telephone_number": "207-447-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STILLWATER AVE STE 5",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044682215",
            "telephone_number": "207-817-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT7169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna S Clark, MS
• Julia Vasylivna Clark, RN
• Clyde Campbell
• Roberta M Damren, MS,LD,RD,CDE
• Karen Laflamme Davis, MS CCC-SLP
• Kyle Deliberty, DPT, ATC
• Jerome Alan Dennis
• Ashleigh Gail Deschenes
• Crystal A Dockery, DO
• Jolene R Driver, PAC

• All providers in Old Town, ME
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.