Evergreen Physical Therapy & Care

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EVERGREEN PHYSICAL THERAPY & CARE

Practice address

50 Wingate Dr
Portland, ME 04102-1830

Phone

(207) 314-2527

NPI assigned

Feb 24, 2023

Last updated

May 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Catherine Perry, DPTNPI 1659764512

Title

Physical Therapist/Owner

Phone

(207) 314-2527

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

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.

• Catherine Perry

  • Physical Therapist
  • Portland, ME
  • NPI 1659764512
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1659070027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WINGATE DR",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021830",
            "telephone_number": "207-314-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WINGATE DR",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021830",
            "telephone_number": "207-314-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PHYSICAL THERAPY & CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "207-314-2527",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard E Evans, M.D.
• Sonja R Evans, DMD
• Val Alexander Evans, DO
• Everest Care LLC
• Haley Dawn Everett, DC
• Evergreen Psychotherapy
• Evergreen Recovery LLC
• Evergreen Recovery LLC
• Carole Ewald, LCSW
• Marissa Exchange

• Physical Therapy Clinic/Center in Portland, ME
• Providers in Portland, ME by specialty
• Physical Therapy Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.