Active NPI
Rebecca Kirgan, PT
- Physical Therapist
- Falmouth, ME
National Provider Identifier
1821038472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2542
- Practice address
- 74 Gray Rd
Falmouth, ME 04105-2019 - Phone
- (207) 797-3006
- Fax
- (207) 797-3002
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2542 | ME | Primary |
Addresses
Primary practice location
74 Gray Rd
Falmouth, ME 04105-2019
Mailing address
105 Crestview Dr
South Portland, ME 04106-7800
Phone (207) 797-3006
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5632878 | Other | CCN INDIV. # | |
| 9992617 | Other | CIGNA INDIV # | |
| 048646 | Other | ME | ANTHEM ME INDIV. # |
| 18874001 | Medicaid | ME | |
| 7015693 | Other | AETNA PIN # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
49 Spring St
Scarborough, ME 04074
Phone (207) 883-1414
1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360
584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216
Organizations & group practices 6
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.
-
- Pediatrics Physician
- Saco, ME
- NPI 1134144090
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
- Pediatric Gastroenterology Physician
- Portland, ME
- NPI 1992719272
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Obstetrics & Gynecology Physician
- Portland, ME
- NPI 1679887277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1821038472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CRESTVIEW DR",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041067800",
"telephone_number": "207-797-3006",
"fax_number": "207-797-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 GRAY RD",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "041052019",
"telephone_number": "207-797-3006",
"fax_number": "207-797-3002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRGAN",
"first_name": "REBECCA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT2542",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN INDIV. #",
"identifier": "5632878",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA INDIV #",
"identifier": "9992617",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ME INDIV. #",
"identifier": "048646",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18874001",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN #",
"identifier": "7015693",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Falmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.