Olivia C Bears, DPT
Individual provider Active NPI Physical Therapist · Bangor, ME
NPI 1710679337 · NPPES record last updated May 23, 2023
Key facts
- NPI
- 1710679337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT6527 (ME)
- Practice address
- 82 Sylvan Rd
Bangor, ME 04401-4221 - Phone
- (207) 401-4324
- Fax
- (207) 401-4325
- NPI assigned
- May 23, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastline Physical Therapy and Performance Inc
Practice addresses (Care Compare)
1 W LN
Suite B
Blue Hill, ME 04614-6102
Phone (207) 374-7246
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230608002667 | ME | Practitioner - Physical Therapist in Private Practice | 4385001106 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6527 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastline Physical Therapy & Performance Inc | Physical Therapist | Current |
Accepting new patients |
Locations
1 West Ln
Ste B
Blue Hill, ME 04614
Phone (207) 374-7246
5 Main St
Deer Isle, ME 04627
Phone (207) 348-3334
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6527 | ME | Yes |
Addresses
Primary practice location
82 Sylvan Rd
Bangor, ME 04401-4221
Mailing address
82 Sylvan Rd
Bangor, ME 04401-4221
Phone (207) 401-4324
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.