Healthcare Provider Details

I. General information

NPI: 1144105560
Provider Name (Legal Business Name): LUCAS SCHEXNAYDER DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 CAPITOL ST STE 2
AUGUSTA ME
04330-6237
US

IV. Provider business mailing address

242 ESSEX ST APT 2
BANGOR ME
04401-4095
US

V. Phone/Fax

Practice location:
  • Phone: 207-629-5005
  • Fax:
Mailing address:
  • Phone: 504-430-0537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: