Edgewater Orthopedic Physical Therapy, LLC
NPI 1053518332ActiveOrganization· Physical Therapist· Falmouth, ME
Physical Therapist in Falmouth, Maine, registered in NPPES in June 2007. The authorized official on file is Jill Pelletier, DPT, Co-Owner Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1053518332 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2007 |
| Last updated in NPPES | Nov 13, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 3114 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (ME) |
|---|
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