Individual provider Active NPI

Avery Pomerleau, DPT

  • Physical Therapist
  • Yarmouth, ME
National Provider Identifier
1750174066
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
233 US Route 1
Yarmouth, ME 04096-6726
Phone
(207) 846-3300
NPI assigned
May 28, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 Primary

Addresses

Primary practice location

233 US Route 1
Yarmouth, ME 04096-6726

Mailing address

233 US Route 1
Yarmouth, ME 04096-6726

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250804000970 ME Practitioner - Physical Therapist in Private Practice 7113435918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reform Physical Therapy IncGroup PAC ID 7214239540, 23 clinicians

Practice addresses (Care Compare)

233 US Route 1
Yarmouth, ME 04096-6726
Phone (207) 846-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reform Physical Therapy, Inc Physical Therapist CurrentSince Jul 9, 2025 Accepting new patients

Locations

190 Pleasant St
Brunswick, ME 04011

439 Lewiston Rd
Topsham, ME 04086
Phone (207) 725-4400

233 US Route 1
Yarmouth, ME 04096
Phone (207) 846-3300

Organizations & group practices 1

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": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1750174066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 US ROUTE 1",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 US ROUTE 1",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966726",
            "telephone_number": "207-846-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMERLEAU",
        "first_name": "AVERY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.