Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC.

Practice address

154 Main St
Bridgton, ME 04009-1247

Phone

(207) 647-5493

NPI assigned

Nov 25, 2019

Organization subpart

No

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

Authorized official

Name

Michael E Tarvin

Title

Vice President

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other names 1

• SACO BAY ORTHOPAEDIC SPORTS & PHYSICAL THERAPY Doing business as

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Select Physical Therapy Holdings, Inc.

  • Physical Therapy Clinic/Center
  • Salisbury, NC
  • NPI 1417223926

  Member Of

  NPD member
• Select Specialty Hospitals Inc

  • Long Term Care Hospital
  • Birmingham, AL
  • NPI 1487652616

  Member Of

  NPD member
• Victoria Healthcare Inc

  • Long Term Care Hospital
  • Miami, FL
  • NPI 1174523815

  Member Of

  NPD member

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1639715659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-975-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 MAIN ST",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040091247",
            "telephone_number": "207-647-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SACO BAY ORTHOPAEDIC SPORTS & PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher A Roy, PT
• Henry Roy III
• Linda Ann Russell, RD, LD, CDCES
• Lisa Ryan
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.
• Rebecca Lee Sadowski-Badeau, LCPC
• Samantha Leduc DMD PLLC
• Grace Anne Sanborn, OTR/L
• Megan Selina Sawyer, BCBA
• Georgia Shanks

• All providers in Bridgton, ME
• Durable Medical Equipment & Medical Supplies in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.