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SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY INC. NPI 1104412212


NPI Information

NPI: 1104412212
Provider Name: SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC.

Doing Business As: SACO BAY ORTHOPAEDIC SPORTS & PHYSICAL THERAPY

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

CLIA Number: 20D2300356

Address:
895 PORTLAND RD
SACO, ME
ZIP 04072
Phone: (207) 439-5104
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SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC. is a rehabilitation clinic center in Saco, ME. SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC. NPI is 1104412212. The provider is registered as an organization entity type.
The provider Is Doing Business As Saco Bay Orthopaedic Sports & Physical Therapy.

The provider's business location address is:

895 PORTLAND RD
SACO, ME
ZIP 04072-673
Phone: (207) 439-5104

The provider's authorized official is Michael E Tarvin .
The authorized official title is Vice President and has the following contact phone number (717) 972-1100.

The CLIA number assigned to this NPI record is 20D2300356 - other - worksites with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2020 and was last updated on 9/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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