Active NPI
Mainehealth
Doing business as Maine Medical Center Physical Therapy
- Physical Therapist
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MAINEHEALTH
- Doing business as
- Maine Medical Center Physical Therapy
- Practice address
- 272 Congress St
Portland, ME 04101 - Phone
- (207) 874-2466
- Fax
- (207) 774-4625
- NPI assigned
- Jan 26, 2010
- Last updated
- May 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lugene Anthony Inzana
- Title
- Assocaite Cfo
- Phone
- (207) 662-3538
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
272 Congress St
Portland, ME 04101
Mailing address
300 Southborough Dr
Suite 201
South Portland, ME 04106-6914
Phone (207) 661-2000
Other names 1
- Maine Medical Center Physical Therapy
National Provider Directory
National Provider Directory- Tax ID family
- MMC Family Practice Cen
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba MaineHealth Pen Bay Hospital
- Medicare Defined Swing Bed Hospital Unit
- Rockport, ME
- NPI 1568273241
-
dba MaineHealth Behavioral Health at Spring Harbor
- Psychiatric Hospital
- Westbrook, ME
- NPI 1598798787
-
dba MaineHealth MT Blue Health Center
- Rural Health Clinic/Center
- Farmington, ME
- NPI 1619510047
-
dba SMHC Walk In Care-Waterboro
- Urgent Care Clinic/Center
- East Waterboro, ME
- NPI 1649750449
-
dba Kenneth Ault MD
- Hematology (Internal Medicine) Physician
- Scarborough, ME
- NPI 1659475036
-
dba MaineHealth Primary Care Internal Medicine
- General Acute Care Hospital
- Topsham, ME
- NPI 1669300406
-
dba Safe Havens at St. Andrews Village
- Alzheimer Center (Dementia Center)
- Boothbay Harbor, ME
- NPI 1669569133
-
dba Gregory Wing at St. Andrews Village
- Nursing Facility/Intermediate Care Facility
- Boothbay Harbor, ME
- NPI 1669952446
-
dba Franklin Memorial Hospital
- Rehabilitation Hospital Unit
- Farmington, ME
- NPI 1699453159
Locations
9 Healthcare Dr
Ste 105A
Biddeford, ME 04005
121 Medical Center Dr
Ste 2700
Brunswick, ME 04011
Phone (207) 721-8700
22 Bramhall St
#1
Portland, ME 04102
15 Anchor Dr
Rockport, ME 04856
Phone (207) 301-3675
4 Scammon St
Ste 51
Saco, ME 04072
Phone (207) 282-3327
92 Campus Dr
Ste B
Scarborough, ME 04074
Phone (207) 662-5143
92 Campus Dr
Ste D1
Scarborough, ME 04074
96 Campus Dr
Ste 1
Scarborough, ME 04074
Phone (207) 396-5611
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Primary Care Nurse Practitioner
- Rockport, ME
- NPI 1942751854
-
- Psychologist
- Brunswick, ME
- NPI 1902950082
-
- Family Nurse Practitioner
- Belfast, ME
- NPI 1497208847
-
- Physical Therapist
- Scarborough, ME
- NPI 1952961385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589155200000",
"number": "1710218078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SOUTHBOROUGH DR",
"address_2": "SUITE 201",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041066914",
"telephone_number": "207-661-2000",
"fax_number": "207-661-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 CONGRESS ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04101",
"telephone_number": "207-874-2466",
"fax_number": "207-774-4625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINEHEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-26",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A",
"authorized_official_last_name": "INZANA",
"authorized_official_first_name": "LUGENE",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "ASSOCAITE CFO",
"authorized_official_telephone_number": "207-662-3538"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Maine Medical Center Physical Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Maine Medical Center Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Portland, ME
- Mainehealth (MMP Family Medicine)
- Mainehealth (Maine Medical Partners Otolaryngology)
- Mainehealth
- Mainehealth (MMC General OB)
- Mainehealth (MMC Diabetes Consult Service)
- Mainehealth (Maine Medical Center Neonate Eye)
- Mainehealth (MaineHealth Pharmacy Maine Medical Center Portland)
- Mainehealth (MaineHealth Maine Medical Center)
- Mainehealth (Maine Transplant Program)
- Mainehealth (Maine Medical Partners Pediatric Surgery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.