Active NPI
Abigail Doherty
- Physical Therapist
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6306
- Practice address
- 1601 Congress St
Portland, ME 04102-2102 - Phone
- (207) 774-5710
- NPI assigned
- Aug 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6306 | ME | Primary |
Addresses
Primary practice location
1601 Congress St
Portland, ME 04102-2102
Mailing address
220 Alfred St
South Portland, ME 04106-6704
Phone (603) 490-8646
Other practice location 1
1274 Congress St
Portland, ME 04102-2111
Phone (207) 888-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240904002928 | ME | Practitioner - Physical Therapist in Private Practice | 8325588460 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saco Bay Orthopaedic and Sports Physical Therapy Inc
Practice addresses (Care Compare)
1274 Congress St
FL 3
Portland, ME 04102-2111
Phone (207) 888-9000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6306 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saco Bay Orthopaedic and Sports Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Current | Accepting new patients | |
| Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Current | Accepting new patients | |
| Atlantic Prosthetic and Orthotic Services | Past | Accepting new patients |
Locations
1601 Congress St
Portland, ME 04102
Phone (207) 661-0100
1274 Congress St
Fl 3
Portland, ME 04102
Phone (207) 888-0900
400 North St
#2
Saco, ME 04072
Phone (207) 282-7121
Organizations & group practices 7
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.
-
- Physical Therapist
- Saco, ME
- NPI 1346254315
ME, Physical Therapist
-
- Physical Therapy Clinic/Center
- Old Town, ME
- NPI 1154096238
-
- Physical Therapy Clinic/Center
- Hampden, ME
- NPI 1912675695
-
- Physical Therapy Clinic/Center
- New London, NH
- NPI 1548837065
-
- Physical Therapy Clinic/Center
- Westbrook, ME
- NPI 1396312807
-
- Rehabilitation Clinic/Center
- Poland, ME
- NPI 1700429834
-
- Customized Equipment (DME)
- Portland, ME
- NPI 1518013275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1487487997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 ALFRED ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041066704",
"telephone_number": "603-490-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 CONGRESS ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022102",
"telephone_number": "207-774-5710"
}
],
"practiceLocations": [
{
"address_1": "1274 Congress St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041022111",
"country_code": "US",
"telephone_number": "207-888-0900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOHERTY",
"first_name": "ABIGAIL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-21",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT6306",
"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 Aug 21, 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.