Active NPIOrganization

Southern Maine Physical Medicine And Rehabilitation, PLLC

Neuromusculoskeletal Medicine, Sports Medicine in Portland, Maine

NPI Number1487691879
Practice location
335 Brighton Ave, Portland, ME 04102-2362
Fax
—
Last updated
July 21, 2008

Southern Maine Physical Medicine And Rehabilitation, PLLC is a healthcare organization based in Portland, ME. Southern Maine Physical Medicine And Rehabilitation, PLLC practices in Portland, ME. The NPI Number for Southern Maine Physical Medicine And Rehabilitation, PLLC is 1487691879 and holds a License No. 1709 (ME). The current practice location address for Southern Maine Physical Medicine And Rehabilitation, PLLC is 335 Brighton Ave, Portland, ME 04102-2362 and can be reached out via phone at 207-775-4000.

Provider Profile Details

NPI Number
1487691879
Provider Name
Southern Maine Physical Medicine And Rehabilitation, PLLC
Provider Entity Type
Organization
Address
335 Brighton Ave, Portland, ME 04102-2362
Phone Number
207-775-4000
Organization Subpart
No
Authorized Official
Dr. Elwood I Fox, DO · President/Physician · 207-893-2992
Provider Enumeration Date
June 2, 2006
Last Update Date
July 21, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
335 Brighton Ave
Portland, ME 04102-2362
State
Maine
Zip
04102-2362
Phone Number
207-775-4000
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
Po Box 178
Gorham, ME 04038-0178
City
Gorham
State
ME
Zip
04038-0178
Phone Number
207-893-2992

License Information

License Number
1709
License State
ME
Taxonomy
Neuromusculoskeletal Medicine, Sports Medicine · 204C00000X · 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 Southern Maine Physical Medicine And Rehabilitation, PLLC?

The NPI number of Southern Maine Physical Medicine And Rehabilitation, PLLC is 1487691879. It was assigned on June 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Southern Maine Physical Medicine And Rehabilitation, PLLC?

Southern Maine Physical Medicine And Rehabilitation, PLLC is registered under the primary taxonomy Neuromusculoskeletal Medicine, Sports Medicine (code 204C00000X), licensed in ME under license number 1709.

Where does Southern Maine Physical Medicine And Rehabilitation, PLLC practice?

The practice location is 335 Brighton Ave, Portland, ME 04102-2362. The office can be reached at 207-775-4000 (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 1487691879 directly on the NPPES registry website.

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