Individual provider Active NPI

Lawrence J Risigo, PT

  • Physical Therapist
  • Scarborough, ME
National Provider Identifier
1710986872
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT575 Issued in ME
Practice address
55 Spring St
Suite B
Scarborough, ME 04074-8926
Phone
(207) 396-5165
Fax
(207) 396-5199
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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 PT575 ME Primary

Addresses

Primary practice location

55 Spring St
Suite B
Scarborough, ME 04074-8926

Mailing address

55 Spring St
Suite B
Scarborough, ME 04074-8926
Phone (207) 396-5165

Other identifiers 1

IdentifierTypeStateIssuer
005147OtherMEBC/BS OF MAINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050523001113 ME Practitioner - Physical Therapist in Private Practice 8224938964 Reassigns benefits to 2 organizations
I20240626000976 NH Practitioner - Physical Therapist in Private Practice 8224938964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saco Bay Orthopaedic and Sports Physical Therapy IncGroup PAC ID 9537069265, shared by 4 NPIs, 137 clinicians

Practice addresses (Care Compare)

312 Mayville Rd
Suite 2
Bethel, ME 04217-4405
Phone (207) 507-3050

325 US Route 1
Unit a
Falmouth, ME 04105-1309
Phone (207) 781-2741

4 Commons Ave
Suite 4D
Windham, ME 04062-5554
Phone (207) 892-7642

400 N St
Suite 2
Saco, ME 04072-1867
Phone (207) 282-7121

45 Wells PLZ
Suite 10
Wells, ME 04090-4146
Phone (207) 641-2292

45 Western Ave
South Portland, ME 04106-2411
Phone (207) 772-2625

547 Amherst St
Suite 106a
Nashua, NH 03063-4000
Phone (603) 514-3930

65 Portland Rd
Suite 5
Kennebunk, ME 04043-6742
Phone (207) 985-6181

8 Dunkin Run
East Waterboro, ME 04030-5437
Phone (207) 977-4731

8 Market Place Dr
York, ME 03909-1693
Phone (207) 363-0888

81 Main St
Gorham, ME 04038-1303
Phone (207) 839-0021

869 Main St
Westbrook, ME 04092-2867
Phone (207) 854-1239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc CurrentSince Jul 31, 2008 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc Physical Therapist Current Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Jul 31, 2008 Accepting new patients
Select Physical Therapy Holdings, Inc. Physical Therapist CurrentSince Oct 31, 2022 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. Physical Therapist Current Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince May 15, 2024 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Oct 31, 2022 Accepting new patients

Locations

730 Center St
Ste 9
Auburn, ME 04210
Phone (207) 783-3450

400 North St
#2
Saco, ME 04072
Phone (207) 282-7121

55 Spring St
#B
Scarborough, ME 04074
Phone (207) 396-5165

100 Foden Rd
Ste W-103
South Portland, ME 04106
Phone (207) 772-2625

869 Main St
Westbrook, ME 04092
Phone (207) 396-5165

547 Amherst St
Ste 106A
Nashua, NH 03063
Phone (603) 514-3930

75 Newport Rd
Unit 4
New London, NH 03257
Phone (603) 526-2781

Organizations & group practices 7

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1710986872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SPRING ST",
            "address_2": "SUITE B",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748926",
            "telephone_number": "207-396-5165",
            "fax_number": "207-396-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SPRING ST",
            "address_2": "SUITE B",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748926",
            "telephone_number": "207-396-5165",
            "fax_number": "207-396-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISIGO",
        "first_name": "LAWRENCE",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MAINE",
            "identifier": "005147",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.