Active NPI
James Stevenson, PT
- Physical Therapist
- Waterboro, ME
National Provider Identifier
1962430827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1854
- Practice address
- 392 Main St
Waterboro, ME 04087-3057 - Phone
- (207) 247-3216
- Fax
- (207) 247-3217
- NPI assigned
- Jun 29, 2006
- 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 | PT1854 | ME | Primary |
Addresses
Primary practice location
392 Main St
Waterboro, ME 04087-3057
Mailing address
PO Box 456
Waterboro, ME 04087-0456
Phone (207) 247-3216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ANTHEM | Other | ME | 024807 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16 Old Pike Rd
Cornish, ME 04020-3506
Phone (207) 625-4300
16 Old Pike Rd
PO Box 48
Cornish, ME 04020-0048
392 Main St
Waterboro, ME 04087-3057
Phone (207) 247-3216
PO Box
Suite 48
Cornish, ME 04020-0048
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Physical Therapist
- Cornish, ME
- NPI 1902906399
-
- Physical Therapist
- Waterboro, ME
- NPI 1316983257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1962430827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 456",
"city": "WATERBORO",
"state": "ME",
"postal_code": "040870456",
"telephone_number": "207-247-3216",
"fax_number": "207-247-3217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "392 MAIN ST",
"city": "WATERBORO",
"state": "ME",
"postal_code": "040873057",
"telephone_number": "207-247-3216",
"fax_number": "207-247-3217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "JAMES",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT1854",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "024807",
"identifier": "ANTHEM",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterboro, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.