Organization Active NPI

Maine Centers for Healthcare Physical Therapy

  • Physical Therapist
  • Portland, ME
National Provider Identifier
1891810412
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Owen B Pickus, D.O.NPI 1174565667
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.