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NPI 1871992107ActiveIndividual· Physical Therapist· Cape Elizabeth, ME

Physical Therapist in Cape Elizabeth, Maine, licensed in ME, with an NPI issued in August 2014.

Overview

NPI1871992107
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedAug 22, 2014
Last updated in NPPESAug 22, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X3892ME

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physical Therapist providers in Cape Elizabeth

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