Active NPI
Samuel William Powell, DPT
- Orthopedic Physical Therapist
- Rockland, ME
National Provider Identifier
1518253756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT 4013
- Practice address
- 91 Camden St.
Suite 401
Rockland, ME 04841-2421 - Phone
- (207) 593-6682
- Fax
- (207) 213-1075
- NPI assigned
- Jun 27, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 11274 | CO | |
| Orthopedic Physical Therapist | 2251X0800X | PT 4013 | ME | Primary |
Addresses
Primary practice location
91 Camden St.
Suite 401
Rockland, ME 04841-2421
Mailing address
91 Camden St.
Suite 401
Rockland, ME 04841-2421
Phone (207) 593-6682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
91 Camden St
Suite 401
Rockland, ME 04841-2421
Phone (207) 593-6682
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11274 | CO | MD | Orthopedic Physical Therapist |
| PT 4013 | ME | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Continuum Physical Therapy PA | Orthopedic | Current | Accepting new patients |
Locations
91 Camden St
Ste 401
Rockland, ME 04841
Phone (207) 593-6682
Organizations & group practices 1
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": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1518253756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 CAMDEN ST.",
"address_2": "SUITE 401",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "048412421",
"telephone_number": "207-593-6682",
"fax_number": "207-213-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 CAMDEN ST.",
"address_2": "SUITE 401",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "048412421",
"telephone_number": "207-593-6682",
"fax_number": "207-213-1075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "SAMUEL",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-27",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CO",
"license": "11274",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "ME",
"license": "PT 4013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.