NPI Code Details Logo

NPI 1760444996

NPI 1760444996 : FALMOUTH PHYSICAL THERAPY ASSOC : FALMOUTH, ME

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1760444996
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    FALMOUTH PHYSICAL THERAPY ASSOC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/04/2006
-----------------------------------------------------
    Last Update Date     |    02/16/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    361 US ROUTE 1 STE 4
-----------------------------------------------------
    City                 |    FALMOUTH
-----------------------------------------------------
    State                |    ME
-----------------------------------------------------
    Zip                  |    04105
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    207-781-2543
-----------------------------------------------------
    Fax                  |    207-781-5077
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 6073 
-----------------------------------------------------
    City                 |    FALMOUTH
-----------------------------------------------------
    State                |    ME
-----------------------------------------------------
    Zip                  |    04105-7083
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    207-781-2543
-----------------------------------------------------
    Fax                  |    207-781-5077
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/CLINICAL DIRECTOR
-----------------------------------------------------
    Name                 |     DAVID  REESE 
-----------------------------------------------------
    Credential           |    PT
-----------------------------------------------------
    Telephone            |    207-781-2543
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    ME
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.