Organization Active NPI

Resilience Maine, LLC

  • Physical Therapist
  • Scarborough, ME
National Provider Identifier
1437701059
Registry record updated Dec 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RESILIENCE MAINE, LLC
Practice address
23 Hannaford Dr
Scarborough, ME 04074-9057
Phone
(207) 707-5300
Fax
(207) 208-8775
NPI assigned
Jul 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2019

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

Authorized official

Name
William P Anderson III, PT, DPT
Title
Owner
Phone
(207) 707-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

23 Hannaford Dr
Scarborough, ME 04074-9057

Mailing address

110 Marginal Way # 964
Portland, ME 04101-2442
Phone (207) 707-5300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576281600000",
    "number": "1437701059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MARGINAL WAY # 964",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012442",
            "telephone_number": "207-707-5300",
            "fax_number": "207-208-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 HANNAFORD DR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749057",
            "telephone_number": "207-707-5300",
            "fax_number": "207-208-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE MAINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-13",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-707-5300",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; 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.