Kennebec Physical Therapy LLC
Organization Active NPI Physical Therapist · Farmingdale, ME
NPI 1841612967 · NPPES record last updated Jan 8, 2014
Key facts
- NPI
- 1841612967
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- KENNEBEC PHYSICAL THERAPY LLC
- Practice address
- 14 Second St
Farmingdale, ME 04344-2931 - Phone
- (207) 582-9898
- Fax
- (207) 582-9899
- NPI assigned
- Jan 8, 2014
- Organization subpart
- No
Authorized official
- Name
- Richard Binstein, JD
- Title
- VP, Authorized Official
- Phone
- (713) 297-7000
Practitioners 2
-
Erin Upton Cary, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140612000050 | ME | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 4789808825 |
Receives reassigned benefits from 2 practitioners Practice locations: Farmingdale, ME |
National Provider Directory
Locations
14 Second St
Farmingdale, ME 04344
Phone (207) 582-9898
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
14 Second St
Farmingdale, ME 04344-2931
Mailing address
14 Second St
Farmingdale, ME 04344-2931
Phone (207) 582-9898
Other providers in Farmingdale, ME
- James Herbert Hammond
- Nicholas A Holden
- Home Resources of Maine
- Allison Christine Jencks
- Kerry A Kaplan
- Kids in Action P.C.
- Aleana Marie Krupinsky
- Norman William Lajoie
- Alecia Lorance
- Maine Avenue Corp., Inc.
All providers in Farmingdale, ME · Physical Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.