Individual provider Active NPI

Sara Hatheway Merrill, MPT

  • Physical Therapist
  • Scarborough, ME
National Provider Identifier
1720153042
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1235 Issued in ME
Practice address
Scarborough Physical Therapy Associates
69 US Route One
Scarborough, ME 04074
Phone
(207) 883-1227
Fax
(207) 883-6199
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT1235 ME Primary

Addresses

Primary practice location

Scarborough Physical Therapy Associates
69 US Route One
Scarborough, ME 04074

Mailing address

Scarborough Physical Therapy Associates
69 US Route One
Scarborough, ME 04074
Phone (207) 883-1227

Other identifiers 1

IdentifierTypeStateIssuer
018401OtherMEANTHEM

Other names 1

  • Ms. Sara Wood Hatheway Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050917000442 ME Practitioner - Physical Therapist in Private Practice 3274566385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scarborough Physical Therapy Associates PAGroup PAC ID 4587556915, 16 clinicians

Practice addresses (Care Compare)

51 US Route One
Suite J
Scarborough, ME 04074-7145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT1235MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Scarborough Physical Therapy Associates, P.a. Physical Therapist CurrentSince Nov 13, 2000 Accepting new patients
Integrative Manual Therapy Associates Physical Therapist PastSince Oct 1, 2006 Accepting new patients

Locations

51 US Route 1
Ste J
Scarborough, ME 04074
Phone (207) 781-8358

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720153042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SCARBOROUGH PHYSICAL THERAPY ASSOCIATES",
            "address_2": "69 US ROUTE ONE",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-883-1227",
            "fax_number": "207-883-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SCARBOROUGH PHYSICAL THERAPY ASSOCIATES",
            "address_2": "69 US ROUTE ONE",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-883-1227",
            "fax_number": "207-883-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "SARA",
        "middle_name": "HATHEWAY",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "018401",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "HATHEWAY",
            "middle_name": "WOOD",
            "prefix": "MS.",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 8, 2007; 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.