Active NPIIndividual provider

Elliott Ballentine, PT

Physical Therapist in Cape Elizabeth, Maine

NPI Number1174973473
Practice location
15 Ivie RD, Cape Elizabeth, ME 04107-1706
Fax
—
Last updated
July 9, 2019

Elliott Ballentine is a Physical Therapist based in Cape Elizabeth, ME. Elliott Ballentine practices in Cape Elizabeth, ME and has the professional credentials of PT. The NPI Number for Elliott Ballentine is 1174973473 and holds a License No. 61741 (OR). The current practice location address for Elliott Ballentine is 15 Ivie RD, Cape Elizabeth, ME 04107-1706 and can be reached out via phone at 216-501-0171.

Provider Profile Details

NPI Number
1174973473
Provider Name
Elliott Ballentine
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
15 Ivie RD, Cape Elizabeth, ME 04107-1706
Phone Number
216-501-0171
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
June 16, 2016
Last Update Date
July 9, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Ivie RD
Cape Elizabeth, ME 04107-1706
State
Maine
Zip
04107-1706
Phone Number
216-501-0171
Cape Elizabeth, ME 04107Get directions →

Provider Business Mailing Address Details

Address
4560 SE International Way
Ste 100
Milwaukie, OR 97222-4628
City
Milwaukie
State
OR
Zip
97222-4628

License Information

License Number
61741
License State
OR
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elliott Ballentine, PT?

The NPI number of Elliott Ballentine, PT is 1174973473. It was assigned on June 16, 2016 and is currently active in the NPPES registry.

What is the specialty of Elliott Ballentine, PT?

Elliott Ballentine, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in OR under license number 61741.

Where does Elliott Ballentine, PT practice?

The practice location is 15 Ivie RD, Cape Elizabeth, ME 04107-1706. The office can be reached at 216-501-0171 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174973473 directly on the NPPES registry website.

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