Healthcare Provider Details

I. General information

NPI: 1003306556
Provider Name (Legal Business Name): SARAH MCLINTOCK PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2018
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

584 ROOSEVELT TRL
WINDHAM ME
04062-7302
US

IV. Provider business mailing address

584 ROOSEVELT TRL UNIT 2
WINDHAM ME
04062-4983
US

V. Phone/Fax

Practice location:
  • Phone: 207-661-2828
  • Fax:
Mailing address:
  • Phone: 207-795-2122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT4914
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: