Ashley D Picoraro, PT, DPT
Individual provider Active NPI Physical Therapist · New Gloucester, ME
NPI 1427458397 · NPPES record last updated Jan 5, 2021
Key facts
- NPI
- 1427458397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT4298 (ME)
- Practice address
- 120 Targett Rd
New Gloucester, ME 04260-4257 - Phone
- (207) 200-1954
- NPI assigned
- Aug 28, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of New England, College of Osteo Medicine, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
- H2O Fitness Collaborative LLC
Practice addresses (Care Compare)
245 Gorham Rd
Scarborough, ME 04074-9558
Phone (207) 289-6001
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180712000615 | ME | Practitioner - Physical Therapist in Private Practice | 2163727074 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4298 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helix Pelvic Health LLC | Physical Therapist | Current |
Accepting new patients |
| H2O Fitness Collaborative LLC | Physical Therapist | Current |
Accepting new patients |
| Paquette Therapy Corporation | Physical Therapist | Past |
Accepting new patients |
Locations
245 Gorham Rd
Scarborough, ME 04074
Phone (207) 289-6001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040.0110542 | VT | |
| Physical Therapist | 225100000X | PT4298 | ME | Yes |
Addresses
Primary practice location
120 Targett Rd
New Gloucester, ME 04260-4257
Mailing address
120 Targett Rd
New Gloucester, ME 04260-4257
Phone (207) 200-1954
Other practice location 1
1 Market Pl
Suites 27 and 23
Essex Junction, VT 05452-2942
Phone (802) 878-9572
Other providers in New Gloucester, ME
- Opportunity Farm for Boys & Girls
- Cassandra Pastorelli
- Paul J Balzer, MD
- Briannah Peaslee
- Nicole Phelan
- Pine Tree Home Health Care Inc.
- Kathleen L Plante
- Nancy Risher Porter
- Wendy Susan Ray
- Lindsey J Redgate
All providers in New Gloucester, ME · Physical Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2021. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.