NPIMap

Organization Active NPI

Reform Physical Therapy, Inc

  • Physical Therapist
  • Yarmouth, ME
National Provider Identifier
1487028775
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4350 Issued in ME
Legal business name
REFORM PHYSICAL THERAPY, INC
Practice address
45 Forest Falls Dr Ste B1
Yarmouth, ME 04096-6999
Phone
(207) 846-3000
NPI assigned
Nov 24, 2015
Last updated
Aug 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Miss Jill Partridge, OWNER
Title
Owner
Phone
(207) 725-4400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT4350 ME Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT4569 ME

Addresses

Primary practice location

45 Forest Falls Dr Ste B1
Yarmouth, ME 04096-6999

Mailing address

190 Pleasant St
Brunswick, ME 04011-2213

Other practice location 1

439 Lewiston Rd
Topsham, ME 04086
Phone (207) 725-4400

Other names 1

  • Reform Physical Therapy Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160104002136 ME Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214239540 Receives reassigned benefits from 29 practitioners
Practice locations: Topsham, ME; Yarmouth, ME; South Portland, ME; Kennebunk, ME; Freeport, ME

National Provider Directory

National Provider Directory

Locations

190 Pleasant St
Brunswick, ME 04011

28 Levesque Dr
Eliot, ME 03903
Phone (207) 351-6932

28 Levesque Dr
Ste 10
Eliot, ME 03903

169 Port Rd
Ste 1
Kennebunk, ME 04043
Phone (207) 204-0679

169 Port Rd
Ste 21
Kennebunk, ME 04043
Phone (207) 204-0679

525 Main St
Ste C
South Portland, ME 04106
Phone (207) 274-6245

233 US Route 1
Yarmouth, ME 04096
Phone (207) 846-3300

233 US Route 1
Ste 1B
Yarmouth, ME 04096

45 Forest Falls Dr
Ste B1
Yarmouth, ME 04096
Phone (207) 846-3000

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1487028775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 PLEASANT ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FOREST FALLS DR STE B1",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966999",
            "telephone_number": "207-846-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "439 Lewiston Rd",
            "address_purpose": "LOCATION",
            "city": "Topsham",
            "state": "ME",
            "postal_code": "04086",
            "country_code": "US",
            "telephone_number": "207-725-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REFORM PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2022-08-09",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "PARTRIDGE",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-725-4400",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4350",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reform Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Yarmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.

Verify at the official NPI Registry.