Courtney L Churchill, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4662 Issued in ME

Practice address

33 Sewall St
Portland, ME 04102-2603

Phone

(072) 828-2121

NPI assigned

Feb 17, 2017

Last updated

Sep 7, 2021By the provider in NPPES

Sex

Female

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saco Bay Orthopaedic and Sports Physical Therapy IncGroup PAC ID 9537069265, 137 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Saco Bay Orthopaedic and Sports Physical Therapy, Inc

  dba Saco Bay Orthopaedic Sports & Physical Therapy

  • Physical Therapist
  • Saco, ME
  • NPI 1346254315
  Medicare reassignment Care Compare group NPD
• Select Physical Therapy Holdings, Inc.

  dba Saco Bay Orthopaedic & Sports Physical Therapy

  • Rehabilitation Clinic/Center
  • Farmington, ME
  • NPI 1427564590

  Physical Therapist

  Medicare reassignment NPD
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc

  dba Saco Bay Orthopaedic Sports & Physical Therapy

  • Rehabilitation Clinic/Center
  • South Portland, ME
  • NPI 1285193912
  NPD
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

  dba Saco Bay Orthopaedic Sports & Physical Therapy

  • Physical Therapy Clinic/Center
  • Westbrook, ME
  • NPI 1396312807
  NPD
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD
• Maine Orthopaedic Center, PA

  • Orthopaedic Surgery Physician
  • Portland, ME
  • NPI 1568523637
  NPD (past)

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1700325289",
    "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",
            "fax_number": "207-956-6676"
        },
        {
            "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": "072-828-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCHILL",
        "first_name": "COURTNEY",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-17",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Fay LCSW Ladc CCS - LLC
• Robert A Christman, M.D.
• Christopher Glenn Chiverton
• Frances Elizabeth Chung, MD, MPH
• Winston Wen-Chen Chung, M.D.
• Courtney May Churchill, DMD
• Faye B Cialfi, AU.D
• Anthony Ciampi, PHARMD
• Suzanne Ciccomancini
• Mark Cieniawski, M.D.

• 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 Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.