Active NPI
Alex Anthony Tsomides
- Physical Therapist
- Old Town, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5652
- Practice address
- 601 Stillwater Ave Ste 5
Old Town, ME 04468-2215 - Phone
- (207) 817-0214
- NPI assigned
- Oct 9, 2020
- Sex
- Male
- 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 | PT5652 | ME | Primary |
Addresses
Primary practice location
601 Stillwater Ave Ste 5
Old Town, ME 04468-2215
Mailing address
18 Newcomb LN Apt C
Levant, ME 04456-4476
Phone (207) 205-1167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201029002746 | ME | Practitioner - Physical Therapist in Private Practice | 1254741424 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
190 Pleasant St
Brunswick, ME 04011-2213
23 Durham Rd
Suite 101
Freeport, ME 04032-6796
Phone (207) 725-4400
439 Lewiston Rd
Topsham, ME 04086-6186
Phone (207) 725-4400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5652 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reform Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Rivertree Osteopathic Health PC | Past | Accepting new patients |
Locations
190 Pleasant St
Brunswick, ME 04011
23 Durham Rd
Ste 101
Freeport, ME 04032
Phone (207) 725-4400
439 Lewiston Rd
Topsham, ME 04086
Phone (207) 725-4400
Organizations & group practices 2
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Topsham, ME
- NPI 1093002438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1952909293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 NEWCOMB LN APT C",
"city": "LEVANT",
"state": "ME",
"postal_code": "044564476",
"telephone_number": "207-205-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 STILLWATER AVE STE 5",
"city": "OLD TOWN",
"state": "ME",
"postal_code": "044682215",
"telephone_number": "207-817-0214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSOMIDES",
"first_name": "ALEX",
"middle_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-09",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT5652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Town, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.