Individual provider Active NPI

Kate Brewer

  • Physical Therapist
  • Scarborough, ME
National Provider Identifier
1770980591
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4274 Issued in ME
Practice address
51 US Route 1 Ste J
Scarborough, ME 04074-7145
Phone
(207) 883-1227
NPI assigned
Nov 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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 4274 ME Primary

Addresses

Primary practice location

51 US Route 1 Ste J
Scarborough, ME 04074-7145

Mailing address

51 US Route 1 J
Scarborough, ME 04074

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mblaney@scarboroughpt.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200513001988 ME Practitioner - Physical Therapist in Private Practice 3274844188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
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 One Rte J
Scarborough, ME 04074
Phone (207) 883-1227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7533SCMDMental Health Counselor
4274MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Scarborough Physical Therapy Associates, P.a. Physical Therapist CurrentSince Apr 1, 2020 Accepting new patients
Integrative Manual Therapy Associates Physical Therapist CurrentSince Apr 1, 2020 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": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1770980591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 US ROUTE 1 J",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 US ROUTE 1 STE J",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747145",
            "telephone_number": "207-883-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "KATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "4274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mblaney@scarboroughpt.com",
            "affiliation": "N",
            "address_1": "51 US Route 1 Ste J",
            "city": "Scarborough",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040747145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 12, 2020; 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.