Active NPIIndividual providerSole proprietor

Prof. Ben Sidaway, PHD, PT

Physical Therapist in Dedham, Maine

NPI Number1265541973
Practice location
577 Green Lake RD, Dedham, ME 04429-4523
Fax
—
Last updated
August 4, 2008

Ben Sidaway is a Physical Therapist based in Dedham, ME. Ben Sidaway practices in Dedham, ME and has the professional credentials of PHD, PT. The NPI Number for Ben Sidaway is 1265541973 and holds a License No. PT2634 (ME). The current practice location address for Ben Sidaway is 577 Green Lake RD, Dedham, ME 04429-4523 and can be reached out via phone at 207-843-6137.

Provider Profile Details

NPI Number
1265541973
Provider Name
Ben Sidaway
Credential
PHD, PT
Provider Entity Type
Individual
Gender
Male
Address
577 Green Lake RD, Dedham, ME 04429-4523
Phone Number
207-843-6137
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
August 29, 2006
Last Update Date
August 4, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
577 Green Lake RD
Dedham, ME 04429-4523
City
Dedham
State
Maine
Zip
04429-4523
Phone Number
207-843-6137
Dedham, ME 04429Get directions →

Provider Business Mailing Address Details

Address
577 Green Lake RD
Dedham, ME 04429-4523
City
Dedham
State
ME
Zip
04429-4523
Phone Number
207-843-6137

License Information

License Number
PT2634
License State
ME
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 Prof. Ben Sidaway, PHD, PT?

The NPI number of Prof. Ben Sidaway, PHD, PT is 1265541973. It was assigned on August 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Prof. Ben Sidaway, PHD, PT?

Prof. Ben Sidaway, PHD, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in ME under license number PT2634.

Where does Prof. Ben Sidaway, PHD, PT practice?

The practice location is 577 Green Lake RD, Dedham, ME 04429-4523. The office can be reached at 207-843-6137 (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 1265541973 directly on the NPPES registry website.

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