NPIMap

Organization Active NPI

Holistic Physical Therapy Services Inc.

Doing business as Pelvic Floor Rehab Center of New England

  • Physical Therapy Clinic/Center
  • South Portland, ME
National Provider Identifier
1619907888
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT2603 Issued in ME
Legal business name
HOLISTIC PHYSICAL THERAPY SERVICES INC.
Doing business as
Pelvic Floor Rehab Center of New England
Practice address
100 Brickhill Ave
Suite 301
South Portland, ME 04106-1999
Phone
(207) 879-7510
Fax
(207) 879-7511
NPI assigned
Jul 4, 2006
Last updated
Nov 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Ms. Susan M. Ramsey, P.T.NPI 1548228950
Title
Owner
Phone
(207) 879-7510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT2603 ME Primary

Addresses

Primary practice location

100 Brickhill Ave
Suite 301
South Portland, ME 04106-1999

Mailing address

100 Brickhill Ave
Suite 301
South Portland, ME 04106-1999
Phone (207) 879-7510

Other identifiers 4

IdentifierTypeStateIssuer
3342014OtherMEAETNA
226660000MedicaidME
AA30554OtherMEHARVARD PILGRIM
601572400OtherMEOWCP ID

Other names 1

  • Pelvic Floor Rehab Center of New England Doing business as

National Provider Directory

National Provider Directory

Locations

71 US Route 1
Ste M
Scarborough, ME 04074
Phone (207) 879-7510

260 Western Ave
Ste 203
South Portland, ME 04106
Phone (207) 879-7510

90 Bridge St
Ste 434
Westbrook, ME 04092

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1619907888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRICKHILL AVE",
            "address_2": "SUITE 301",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061999",
            "telephone_number": "207-879-7510",
            "fax_number": "207-879-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRICKHILL AVE",
            "address_2": "SUITE 301",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061999",
            "telephone_number": "207-879-7510",
            "fax_number": "207-879-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PHYSICAL THERAPY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-879-7510",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ME",
            "license": "PT2603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3342014",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226660000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA30554",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP ID",
            "identifier": "601572400",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pelvic Floor Rehab Center of New England",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.