Active NPI
Maine Centers for Healthcare Physical Therapy
- Physical Therapist
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MAINE CENTERS FOR HEALTHCARE PHYSICAL THERAPY
- Practice address
- 980 Forest Ave
Portland, ME 04103-3336 - Phone
- (207) 347-7853
- Fax
- (207) 347-7855
- NPI assigned
- Mar 20, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Owen B Pickus, D.O.
- Title
- Medical Directory
- Phone
- (207) 857-9311
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
980 Forest Ave
Portland, ME 04103-3336
Mailing address
980 Forest Ave
Portland, ME 04103-3336
Phone (207) 347-7853
National Provider Directory
National Provider DirectoryLocations
980 Forest Ave
Portland, ME 04103
Phone (207) 347-3186
2 Chabot St
Westbrook, ME 04092
Phone (207) 857-9311
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Hematology & Oncology Physician
- Westbrook, ME
- NPI 1174565667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891810412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 FOREST AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041033336",
"telephone_number": "207-347-7853",
"fax_number": "207-347-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 FOREST AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041033336",
"telephone_number": "207-347-7853",
"fax_number": "207-347-7855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINE CENTERS FOR HEALTHCARE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PICKUS",
"authorized_official_first_name": "OWEN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MEDICAL DIRECTORY",
"authorized_official_telephone_number": "207-857-9311",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.