Folsom Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1177 Issued in ME

Legal business name

FOLSOM PHYSICAL THERAPY, LLC

Doing business as

Folsom PT

Practice address

12 Industrial Pkwy
Brunswick, ME 04011-7314

Phone

(207) 841-0120

NPI assigned

May 18, 2017

Organization subpart

Yes

Parent organization

FOLSOM PHYSICAL THERAPY, LLCAs reported in NPPES

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

Authorized official

Name

Cynthia J Folsom, MS,PT

Title

Physical Therapist/Owner

Phone

(207) 841-0120

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Folsom PT Doing business as

Part of

Folsom Physical Therapy

Locations

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495065600000",
    "number": "1508393786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 UNION ST",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861946",
            "telephone_number": "207-841-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 INDUSTRIAL PKWY",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040117314",
            "telephone_number": "207-841-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLSOM PHYSICAL THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOLSOM PHYSICAL THERAPY, LLC",
        "enumeration_date": "2017-05-18",
        "last_updated": "2017-05-18",
        "status": "A",
        "authorized_official_last_name": "FOLSOM",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "207-841-0120",
        "authorized_official_credential": "MS,PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254270099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Folsom PT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Folsom PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Korin M Fisher, PT, DPT
• Chelsey Fitzpatrick, LCPC
• Keith W Fleming, MD
• Chesley Flotten, LCSW
• Joyce J Foley, CCC-SLP
• Cynthia J Folsom, P.T.
• Foot and Ankle Associates of Maine, P.a.
• Foot and Ankle Associates of Maine, P.a.
• Marybeth Dunston Ford, MD
• Alessandra M Forsthoefel, LMSW-CC

• Physical Therapist in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; 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.