Physical Therapy Specialists, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4886 Issued in ME

Legal business name

PHYSICAL THERAPY SPECIALISTS, LLC

Doing business as

Resolve Physical Therapy

Practice address

75 Stone St
Augusta, ME 04330-5222

Phone

(207) 623-6300

NPI assigned

Sep 1, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Elia Darazi, DPTNPI 1548784655

Title

Owner

Phone

(508) 488-8233

Specialties & licenses 1

Addresses

Other names 1

• Resolve Physical Therapy Doing business as

Locations

Practitioners 1

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.

• Elia Darazi, DPT

  • Physical Therapist
  • North Attleboro, MA
  • NPI 1548784655
  Authorized official Same address or phone

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504224000000",
    "number": "1639697345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SUNSET AVE APT 3",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 STONE ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305222",
            "telephone_number": "207-623-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2017-09-01",
        "status": "A",
        "authorized_official_last_name": "DARAZI",
        "authorized_official_first_name": "ELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-488-8233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resolve Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianna Petrone, MD
• Natalia Petrova, MHA, PMHNP
• Ben Quoc Pham
• Jennifer Philbrick, SLPA
• Phoenix Rising Behavioral Services
• Catherine L Picard, CRT
• Carl W Pierce, PA-C
• Ashton Elizabeth Piers, FNP
• Angela Pietroski, LMSW-CC
• Anita Pike, COTA/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.