Coveside Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

COVESIDE PHYSICAL THERAPY LLC

Practice address

57 Charleston Rd
Chebeague Island, ME 04017-3628

Phone

(508) 735-7507

Fax

(207) 846-1696

NPI assigned

Nov 24, 2020

Last updated

Nov 24, 2020By 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

Elizabeth Doughty, PTNPI 1760850879

Title

Owner

Phone

(508) 735-7507

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.

• Elizabeth Doughty, PT, DPT

  • Physical Therapist
  • Portland, ME
  • NPI 1760850879
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1700480464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 CHARLESTON RD",
            "city": "CHEBEAGUE ISLAND",
            "state": "ME",
            "postal_code": "040173628",
            "telephone_number": "508-735-7507",
            "fax_number": "207-846-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 CHARLESTON RD",
            "city": "CHEBEAGUE ISLAND",
            "state": "ME",
            "postal_code": "040173628",
            "telephone_number": "508-735-7507",
            "fax_number": "207-846-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVESIDE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "DOUGHTY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-735-7507",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucas Carroll Hamilton, OTR/L
• Island Commons Resource Center
• Jill I Rich

• Physical Therapist in Chebeague Island, ME
• Providers in Chebeague Island, 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 24, 2020; 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.