NPIMap

Organization Active NPI

Maine Strong Physical Therapy PA

  • Physical Therapist
  • South Portland, ME
National Provider Identifier
1841669660
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4165 Issued in ME
Legal business name
MAINE STRONG PHYSICAL THERAPY PA
Practice address
297 Sawyer St
South Portland, ME 04106-2946
Phone
(207) 400-7604
NPI assigned
Sep 22, 2015
Last updated
Sep 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Jason AdourNPI 1285950899
Title
President
Phone
(207) 400-7604

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4165 ME Primary

Addresses

Primary practice location

297 Sawyer St
South Portland, ME 04106-2946

Mailing address

297 Sawyer St
South Portland, ME 04106-2946
Phone (207) 400-7604

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170316000079 ME Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8224313143 Receives reassigned benefits from 31 practitioners
Practice locations: Saco, ME; Scarborough, ME; South Portland, ME; Westbrook, ME

National Provider Directory

National Provider Directory

Locations

15 Lund Rd
Unit 104
Saco, ME 04072
Phone (207) 303-0612

400 Enterprise Dr
Ste 4
Scarborough, ME 04074
Phone (207) 303-0612

380 Western Ave
South Portland, ME 04106
Phone (207) 233-7731

Practitioners & affiliated clinicians

Practitioners 43

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.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1841669660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 SAWYER ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062946",
            "telephone_number": "207-400-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 SAWYER ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062946",
            "telephone_number": "207-400-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE STRONG PHYSICAL THERAPY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "ADOUR",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-400-7604"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.