Healthcare Provider Details

I. General information

NPI: 1386574366
Provider Name (Legal Business Name): ENGAGE SENIOR THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 GARDINER RD
WISCASSET ME
04578-4326
US

IV. Provider business mailing address

522 AMHERST ST STE 23
NASHUA NH
03063-1030
US

V. Phone/Fax

Practice location:
  • Phone: 603-880-0448
  • Fax: 603-881-5280
Mailing address:
  • Phone: 603-880-0448
  • Fax: 603-881-5280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ROBERT ADAM FISHMAN
Title or Position: CEO
Credential:
Phone: 603-880-0448