Individual provider Active NPI

Elizabeth Record, DPT

  • Physical Therapist
  • Westbrook, ME
National Provider Identifier
1992277651
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5177 Issued in ME
Practice address
23 Bridgton Rd
Westbrook, ME 04092-3653
Phone
(207) 797-3477
NPI assigned
Dec 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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 PT5177 ME Primary

Addresses

Primary practice location

23 Bridgton Rd
Westbrook, ME 04092-3653

Mailing address

23 Bridgton Rd
Westbrook, ME 04092-3653
Phone (207) 797-3477

Other names 1

  • Elizabeth Debenedictis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201207001113 ME Practitioner - Physical Therapist in Private Practice 2466799176 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5177MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn J. Flaming MPT Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients
Riverview Physical Therapy Limited Partnership Physical Therapist PastSince Apr 23, 2023 Accepting new patients
Riverview Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients

Locations

11 Elsinore Ave
Bath, ME 04530
Phone (207) 442-9810

64 Chapman St
Damariscotta, ME 04543
Phone (207) 563-7990

Organizations & group practices 3

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": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1992277651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BRIDGTON RD",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923653",
            "telephone_number": "207-797-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BRIDGTON RD",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923653",
            "telephone_number": "207-797-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECORD",
        "first_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DEBENEDICTIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westbrook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.