Peter John Madore, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2307 Issued in ME

Practice address

82 Sylvan Rd
Bangor, ME 04401-4221

Phone

(207) 401-4324

Fax

(207) 401-4325

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County Physical Therapy LLCGroup PAC ID 3779520242, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• County Physical Therapy, LLC

  • Physical Therapist
  • Caribou, ME
  • NPI 1386686616
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1598780330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 SYLVAN RD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014221",
            "telephone_number": "207-401-4324",
            "fax_number": "207-401-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 SYLVAN RD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014221",
            "telephone_number": "207-401-4324",
            "fax_number": "207-401-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADORE",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT2307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica L Macphail, NP
• Mary A Macy, M.D.
• Pallavi Madannagari, MD
• Angela Madden, LMSW-CC
• Elissa Madore, MPT
• Andres Madrigal, MD
• Irene Madrigal, PHARMD
• Polly Madson Cox, LCSW
• Lisa Mages-Haskins, AUD
• Kate Maginn, LCSW

• Physical Therapist in Bangor, ME
• Providers in Bangor, 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 20, 2021; 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.

Verify at the official NPI Registry.