Individual provider Active NPI

Rebecca Kirgan, PT

  • Physical Therapist
  • Falmouth, ME
National Provider Identifier
1821038472
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2542 Issued in ME
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

Updated by the provider on Jul 9, 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 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

IdentifierTypeStateIssuer
5632878OtherCCN INDIV. #
9992617OtherCIGNA INDIV #
048646OtherMEANTHEM ME INDIV. #
18874001MedicaidME
7015693OtherAETNA PIN #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050817000947 ME Practitioner - Physical Therapist in Private Practice 9234122243 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
Maine Medical Partners CurrentSince Jan 2, 2019 Accepting new patients
Mainehealth CurrentSince Jul 1, 2023 Accepting new patients
Maine Medical Partners CurrentSince Jan 2, 2019 Accepting new patients
Maine Medical Partners Current Accepting new patients
Mainehealth CurrentSince Jul 1, 2023 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.

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.

Verify at the official NPI Registry.