Healthcare Provider Details

I. General information

NPI: 1659983021
Provider Name (Legal Business Name): RESILIENCE PHYSICAL THERAPY AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2020
Last Update Date: 10/04/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 MAIN ST
AUBURN ME
04210-5811
US

IV. Provider business mailing address

32 SUNDERLAND DR
AUBURN ME
04210-9233
US

V. Phone/Fax

Practice location:
  • Phone: 207-707-5058
  • Fax: 833-544-0823
Mailing address:
  • Phone: 207-707-5058
  • Fax: 833-544-0823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: JASON BURTCHELL
Title or Position: OWNER/PHYSICAL THERAPIST
Credential:
Phone: 207-707-5058