Active NPI
Michelle Hubbard, PT, DPT
- Physical Therapist
- Cornish, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5394
- Practice address
- 16 Old Pike Rd
Cornish, ME 04020-3506 - Phone
- (207) 625-4300
- NPI assigned
- Sep 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5394 | ME | Primary |
Addresses
Primary practice location
16 Old Pike Rd
Cornish, ME 04020-3506
Mailing address
850 Baxter Blvd
Portland, ME 04103
Phone (207) 774-7878
Other practice location 1
850 Baxter Blvd
Portland, ME 04103-4901
Phone (207) 774-7878
Other practice location 2
850 Baxter Blvd
Portland, ME 04103-4901
Phone (207) 774-7878
Other practice location 3
392 Main St
Waterboro, ME 04087-3057
Phone (207) 247-3216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, NH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200130001620 | ME | Practitioner - Physical Therapist in Private Practice | 2961838503 | Reassigns benefits to 3 organizations |
| I20200130001902 | NH | Practitioner - Physical Therapist in Private Practice | 2961838503 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of New England, College of Osteo Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saco Bay Orthopaedic and Sports Physical Therapy Inc
Practice addresses (Care Compare)
111 Ossipee TRL E
Suite 1151
Standish, ME 04084-6421
Phone (207) 642-5325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5394 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saco Bay Orthopaedic and Sports Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Current | Accepting new patients | |
| Massabesic Health Resources PA | Physical Therapist | Current | Accepting new patients |
Locations
400 North St
#2
Saco, ME 04072
Phone (207) 282-7121
111 Ossipee Trl E
Ste 1151
Standish, ME 04084
Phone (207) 642-3524
392 Main St
Waterboro, ME 04087
Phone (207) 347-3216
Organizations & group practices 7
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.
-
- Physical Therapist
- Saco, ME
- NPI 1346254315
ME, Physical Therapist
-
- Physical Therapist
- Waterboro, ME
- NPI 1316983257
ME, Physical Therapist
-
- Physical Therapy Clinic/Center
- Old Town, ME
- NPI 1154096238
-
- Physical Therapy Clinic/Center
- Hampden, ME
- NPI 1912675695
-
- Physical Therapy Clinic/Center
- New London, NH
- NPI 1548837065
-
- Physical Therapy Clinic/Center
- Westbrook, ME
- NPI 1396312807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1891345906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 BAXTER BLVD",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04103",
"telephone_number": "207-774-7878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 OLD PIKE RD",
"city": "CORNISH",
"state": "ME",
"postal_code": "040203506",
"telephone_number": "207-625-4300"
}
],
"practiceLocations": [
{
"address_1": "850 Baxter Blvd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041034901",
"country_code": "US",
"telephone_number": "207-774-7878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "850 Baxter Blvd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041034901",
"country_code": "US",
"telephone_number": "207-774-7878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "392 Main St",
"address_purpose": "LOCATION",
"city": "Waterboro",
"state": "ME",
"postal_code": "040873057",
"country_code": "US",
"telephone_number": "207-247-3216",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUBBARD",
"first_name": "MICHELLE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-19",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT5394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cornish, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.