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NPI Code Detail

MEDICARE: DIRIGO PHYSICAL THERAPY AND PERFORMANCE

MEDICARE: DIRIGO PHYSICAL THERAPY AND PERFORMANCE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1992295513
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIRIGO PHYSICAL THERAPY AND PERFORMANCE
Provider Business Mailing Address
First Line : 561 CONGRESS ST
Second Line :
City : PORTLAND
State : ME
Zip : 04101-3308
Country : US
Telephone Number : 207-536-4968
Fax Number : 207-213-4116
Provider Business Practice Location Address
First Line : 561 CONGRESS ST
Second Line :
City : PORTLAND
State : ME
Zip : 04101-3308
Country : US
Telephone Number : 207-536-4968
Fax Number : 207-213-4116
Authorized Official
Title or Position : OWNER
Name : DR. LLOYD F BECKETT
Credential : DPT, ATC
Telephone Number : 207-536-4968
Provider Enumeration Date : 05/18/2018
Last Update Date : 09/09/2025

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1417507179 — DR. MALLORY MICHELLE GOODRICH DPT
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1033832886 — DR. ELIZABETH GOODRICH DPT
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Directions to “DIRIGO PHYSICAL THERAPY AND PERFORMANCE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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