Erica Pond Green, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1170 Issued in ME

Practice address

316 Portland Rd
Bridgton, ME 04009-4227

Phone

(207) 647-2727

Fax

(207) 647-2734

NPI assigned

May 28, 2006

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: erica@premierpt.direct.kno2fy.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Physical Therapy, LLC

  • Physical Therapist
  • Bridgton, ME
  • NPI 1720035371

  ME

  Medicare reassignment
• Gray Physical Therapy Center, PA

  • Physical Therapist
  • Gray, ME
  • NPI 1861449811
  NPD (past)
• Kinetic Gray Physical Therapy LLC

  • Physical Therapist
  • Gray, ME
  • NPI 1053143420
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1700833381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 347",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040390347",
            "telephone_number": "207-647-2727",
            "fax_number": "207-647-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 PORTLAND RD",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040094227",
            "telephone_number": "207-647-2727",
            "fax_number": "207-647-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ERICA",
        "middle_name": "POND",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denyell Beth Gerchman
• Holly Getchell, CADC
• Good Neighbors, Inc
• Drexel Reed Gordon, D.O.
• Charlie James Green, PHARM. D.
• Nora Jeanne Gross, LCSW
• Trisha A. Gushue, DO
• Christy Lynn Hafford
• Hannaford Bros Co LLC
• Haroldson Health Services LLC

• All providers in Bridgton, ME
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.