Individual provider Active NPI

Kayla Belanger, DPT

  • Physical Therapist
  • Portland, ME
National Provider Identifier
1740737378
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6734 Issued in ME
Practice address
94 Auburn St Ste 103
Portland, ME 04103-2141
Phone
(207) 797-7578
Fax
(207) 797-8165
NPI assigned
Sep 1, 2016
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11126 CT
Physical Therapist 225100000X PT6734 ME Primary

Addresses

Primary practice location

94 Auburn St Ste 103
Portland, ME 04103-2141

Mailing address

94 Auburn St Ste 103
Portland, ME 04103-2141
Phone (207) 797-7578

Other practice location 1

33 Sewall St
Portland, ME 04102-2603
Phone (207) 828-2100

Other practice location 2

4 Commons Ave Ste A
Windham, ME 04062-5554
Phone (207) 893-1738

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514003574 ME Practitioner - Physical Therapist in Private Practice 2961843594 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Connecticut School of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

94 Auburn St
Suite 103
Portland, ME 04103-2141
Phone (207) 797-7578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11126CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Healthcare Partners, PA CurrentSince May 6, 2024 Accepting new patients
Riverview Physical Therapy Limited Partnership Physical Therapist CurrentSince Jul 28, 2025 Accepting new patients
Orthopaedic Associates of Maine PA CurrentSince Feb 1, 2025 Accepting new patients
Spectrum Healthcare Partners, P.a. CurrentSince May 6, 2024 Accepting new patients
Orthopaedic Associates of Maine PA CurrentSince Feb 1, 2025 Accepting new patients

Locations

33 Sewall St
Portland, ME 04102
Phone (207) 772-0076

94 Auburn St
Ste 103
Portland, ME 04103
Phone (207) 797-7578

324 Gannett Dr
Ste 200
South Portland, ME 04106
Phone (207) 482-7861

4 Commons Ave
Ste A
Windham, ME 04062
Phone (207) 893-1738

50 Forest Falls Dr
Yarmouth, ME 04096
Phone (207) 846-5111

Interoperability endpoints

  • Direct secure messaging: kayla.belanger@direct.spectrumhcp.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1740737378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 AUBURN ST STE 103",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032141",
            "telephone_number": "207-797-7578",
            "fax_number": "207-797-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 AUBURN ST STE 103",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032141",
            "telephone_number": "207-797-7578",
            "fax_number": "207-797-8165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Sewall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041022603",
            "country_code": "US",
            "telephone_number": "207-828-2100",
            "fax_number": "207-553-7166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Commons Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Windham",
            "state": "ME",
            "postal_code": "040625554",
            "country_code": "US",
            "telephone_number": "207-893-1738",
            "fax_number": "207-553-7166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELANGER",
        "first_name": "KAYLA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11126",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT6734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.