Edward Scott Greeley II, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3961 Issued in ME

Practice address

33 Sewall St
Portland, ME 04102-2603

Phone

(208) 828-2100

NPI assigned

Jul 16, 2012

Last updated

Nov 9, 2015By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverview Physical Therapy Limited Partnership

  • Physical Therapist
  • Portland, ME
  • NPI 1194396747
  Medicare reassignment NPD
• Head to Toe Physical Therapy

  • Physical Therapist
  • Lewiston, ME
  • NPI 1255432449
  NPD (past)
• Riverview Physical Therapy Limited Partnership

  • Physical Therapy Clinic/Center
  • Westbrook, ME
  • NPI 1881784429

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1699020784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-482-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022603",
            "telephone_number": "208-828-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREELEY",
        "first_name": "EDWARD",
        "middle_name": "SCOTT",
        "name_suffix": "II",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Portland Home Care, LLC
• David R Greatorex, M.D.
• Patricia Greatorex, M.D.
• Jennifer Warren Greaves, L.C.S.W., L.A.D.C.
• Callie Wells Greco, MD
• Green Leaf Residential Care LLC
• Cassie M Green, PSYD
• Donald James Green
• John William Green, LCSW
• Matthew A. Green, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.