Individual provider Active NPI

Michelle Hubbard, PT, DPT

  • Physical Therapist
  • Cornish, ME
National Provider Identifier
1891345906
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5394 Issued in ME
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

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 137 clinicians

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

LicenseStateTypeSpecialty
PT5394MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc Physical Therapist CurrentSince May 1, 2021 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince May 1, 2021 Accepting new patients
Massabesic Health Resources PA Physical Therapist CurrentSince Feb 1, 2020 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.

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.

Verify at the official NPI Registry.