William Justin Gilbert, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1739 Issued in ME

Practice address

57 Portland St
South Berwick, ME 03908-1203

Phone

(207) 384-7260

NPI assigned

Oct 21, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of New England, College of Osteo Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Labrie-Hunt Holdings, LLCGroup PAC ID 4789801754, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Labrie-Hunt Holdings, LLC

  • Occupational Therapist
  • Kittery, ME
  • NPI 1154733384

  ME, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1881904076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 TIDY RD",
            "city": "ELIOT",
            "state": "ME",
            "postal_code": "039031020",
            "telephone_number": "207-686-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 PORTLAND ST",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039081203",
            "telephone_number": "207-384-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "WILLIAM",
        "middle_name": "JUSTIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri R Fernald, LCMHC
• Jessica Jane Fitzgerald, PT
• Lori Anne Ford, MSPT
• Bette Jonas Freedson, LCSW
• Mary Ann Gagnon, APRN
• Great Works Chiropractic & Wellness, PA
• Great Works Family Practice
• Great Works Family Practice
• Great Works Family Practice, P.a.
• Greater Faith Works LLC

• Physical Therapist in South Berwick, ME
• Providers in South Berwick, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.