Organization Active NPI

Adrienne McAuley Physical Therapy LLC

  • Physical Therapist
  • Portland, ME
National Provider Identifier
1831969831
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ADRIENNE MCAULEY PHYSICAL THERAPY LLC
Practice address
619 Brighton Ave Ste 101
Portland, ME 04102-2373
Phone
(207) 553-0398
NPI assigned
Jan 2, 2024
Last updated
Feb 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Dr. Jennifer Adrienne McAuley, PTNPI 1114242880
Title
Physical Therapist & Owner
Phone
(207) 553-0398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Physical Therapist 225100000X Primary

Addresses

Primary practice location

619 Brighton Ave Ste 101
Portland, ME 04102-2373

Mailing address

75 Mabel St
Portland, ME 04103-2514

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240429001225 ME Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5890135586 Receives reassigned benefits from 1 practitioner
Practice locations: Kennebunk, ME; Portland, ME

National Provider Directory

National Provider Directory

Locations

50 Portland Rd
Kennebunk, ME 04043

50 Portland Rd
Ste 4
Kennebunk, ME 04043
Phone (207) 502-3583

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1831969831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MABEL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 BRIGHTON AVE STE 101",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022373",
            "telephone_number": "207-553-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIENNE MCAULEY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "MCAULEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ADRIENNE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST & OWNER",
        "authorized_official_telephone_number": "207-553-0398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Feb 29, 2024; 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.