Success Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SUCCESS PHYSICAL THERAPY

Practice address

43 Baxter Blvd
Portland, ME 04101-1823

Phone

(207) 874-7992

Fax

(207) 774-9156

NPI assigned

Feb 23, 2006

Organization subpart

No

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

Authorized official

Name

Judy C. Mitchell

Title

Owner/Manager

Phone

(207) 874-7992

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debbi-Jo Harvey, P.T.

  • Physical Therapist
  • Portland, ME
  • NPI 1710952528
  NPD (past)
• Karen R. Proctor, P.T.

  • Physical Therapist
  • Portland, ME
  • NPI 1053386854
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548235351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BAXTER BLVD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011823",
            "telephone_number": "207-874-7992",
            "fax_number": "207-774-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BAXTER BLVD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011823",
            "telephone_number": "207-874-7992",
            "fax_number": "207-774-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "207-874-7992"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "016708",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "1041654",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD IDENTIFICATION #",
            "identifier": "MN 2183",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Stults, LCPC
• Bianca Bentley Sturchio, LMSW-CC
• Meredith M Sturges, CRNA
• Madison Su
• Sarah E Subak-Krah
• Architha Sudhakar, MD
• Destiny Sueoka
• Alexis Sugrue
• Cathlyn Sullivan, DO
• Drew Sullivan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.