Individual provider Active NPI

Linda Marie Delabruere, PHYSICAL THERAPY

  • Physical Therapist
  • Portland, ME
National Provider Identifier
1437992542
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1765 Issued in ME
Practice address
75 State St
Portland, ME 04101-3746
Phone
(207) 805-9161
Fax
(207) 888-4369
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1765 ME Primary

Addresses

Primary practice location

75 State St
Portland, ME 04101-3746

Mailing address

75 State St
Portland, ME 04101-3746
Phone (207) 805-9161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241011000538 ME Practitioner - Physical Therapist in Private Practice 8527590835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

80 Luther St
Peaks Island, ME 04108-1213
Phone (207) 650-8582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT1765MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ptpeaks LLC Physical Therapist CurrentSince Apr 28, 2026 Accepting new patients
Fox Rehabilitation Services Me LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients

Locations

600 Commerce Dr
Scarborough, ME 04074
Phone (207) 730-6781

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1437992542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 STATE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013746",
            "telephone_number": "207-805-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 STATE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013746",
            "telephone_number": "207-805-9161",
            "fax_number": "207-888-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELABRUERE",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.