Individual provider Active NPI

Pamela J Morgan, P.T.

  • Physical Therapist
  • Auburn, ME
National Provider Identifier
1710073341
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1166 Issued in ME
Practice address
600 Turner St Ste 2
Auburn, ME 04210-5093
Phone
(207) 707-4788
Fax
(833) 702-9005
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1166 ME Primary

Addresses

Primary practice location

600 Turner St Ste 2
Auburn, ME 04210-5093

Mailing address

22 Lincoln Street
Brunswick, ME 04011
Phone (207) 729-1164

Other practice location 1

336 Center Street
Auburn, ME 04210
Phone (207) 784-6462

Other identifiers 2

IdentifierTypeStateIssuer
042407OtherMEBLUE SHIELD PROVIDER #
2463880099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050815000849 ME Practitioner - Physical Therapist in Private Practice 8022048545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back in Motion Physical Therapy LLCGroup PAC ID 7416926704, 57 clinicians

Practice addresses (Care Compare)

600 Turner St
Suite 2
Auburn, ME 04210-5093
Phone (207) 707-4788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT1166MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Motion Physical Therapy, LLC Physical Therapist CurrentSince Sep 11, 2023 Accepting new patients
Greater Brunswick Physical Therapy P.a. Physical Therapist CurrentSince Jun 1, 2010 Accepting new patients

Locations

600 Turner St
Ste 2
Auburn, ME 04210
Phone (207) 707-4788

2 Willow Run
Auburn, ME 04210
Phone (207) 784-3462

22 Lincoln St
Brunswick, ME 04011
Phone (207) 729-1164

94 Main St
Gorham, ME 04038
Phone (207) 839-5225

583 Lisbon St
Ste 3
Lisbon Falls, ME 04252

11 Bowdoin Mill Is
Ste 260
Topsham, ME 04086
Phone (207) 729-1164

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1710073341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LINCOLN STREET",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "04011",
            "telephone_number": "207-729-1164",
            "fax_number": "207-725-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 TURNER ST STE 2",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105093",
            "telephone_number": "207-707-4788",
            "fax_number": "833-702-9005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "336 Center Street",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "ME",
            "postal_code": "04210",
            "country_code": "US",
            "telephone_number": "207-784-6462",
            "fax_number": "207-784-6502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "042407",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2463880099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.