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NPI Code Detail

MEDICARE: FOOTHILLS PHYSICAL THERAPY, PA

MEDICARE: FOOTHILLS PHYSICAL THERAPY, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902906399
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOOTHILLS PHYSICAL THERAPY, PA
Provider Business Mailing Address
First Line : PO BOX 48
Second Line :
City : CORNISH
State : ME
Zip : 04020-0048
Country : US
Telephone Number : 207-625-4300
Fax Number : 207-625-7300
Provider Business Practice Location Address
First Line : 16 OLD PIKE RD
Second Line :
City : CORNISH
State : ME
Zip : 04020-3506
Country : US
Telephone Number : 207-625-4300
Fax Number : 207-625-7300
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : THOMAS JOSEPH THOMAN
Credential : DPT
Telephone Number : 207-625-4300
Provider Enumeration Date : 09/25/2006
Last Update Date : 06/10/2009

Similar Medicare Providers

1083642516 — THOMAS J THOMAN DPT
Practice Location Address:
16 OLD PIKE RD
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04020-3506
Practice Phone: 207-625-4300
Practice Fax: 207-625-7300
1932330719 — MS. KRISTEN L PEASE PT, DPT
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1972953933 — CORY LYNN MARCOUX PT, DPT
Practice Location Address:
16 OLD PIKE RD
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04020-3506
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Practice Fax:
1083167456 — JAMES WALL
Practice Location Address:
16 OLD PIKE RD
CORNISH, ME
04020-3506
Practice Phone: 207-625-4300
Practice Fax:
1518488642 — ASHTEN HACKETT CULLENBERG PT, DPT
Practice Location Address:
16 OLD PIKE RD
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04020-3506
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Practice Fax:
1891345906 — MICHELLE HUBBARD PT, DPT
Practice Location Address:
16 OLD PIKE RD
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04020-3506
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Practice Fax:

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