Bradley Frenette, DPT | |
4 Commons Ave Ste A, Windham, ME 04062-5554 | |
(207) 893-1738 | |
Not Available |
Full Name | Bradley Frenette |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4 Commons Ave Ste A, Windham, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730851056 | NPI | - | NPPES |
1730851056 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT5754 (Maine) | Primary |
Provider Name | Reform Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1487028775 PECOS PAC ID: 7214239540 Enrollment ID: O20160104002136 |
Mailing Address | Practice Location Address |
---|---|
Bradley Frenette, DPT 324 Gannett Dr Ste 200, South Portland, ME 04106-3266 Ph: (207) 482-0780 | Bradley Frenette, DPT 4 Commons Ave Ste A, Windham, ME 04062-5554 Ph: (207) 893-1738 |
Michael Downing, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 584 Roosevelt Trl, Windham, ME 04062 Phone: 207-893-2490 | |
Mr. William Joseph Stanske, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4 Commons Ave Ste 4d, Windham, ME 04062 Phone: 207-892-7642 Fax: 207-892-8440 | |
Lindsey K Higginbottom, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4 Commons Ave Ste A, Windham, ME 04062 Phone: 207-893-1738 | |
Wendy Wardwell, Physical Therapist Medicare: Medicare Enrolled Practice Location: 584 Roosevelt Trl, Windham, ME 04062 Phone: 207-893-2490 | |
Deborah M Kelley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 Commons Ave, Windham, ME 04062 Phone: 207-892-7642 Fax: 207-892-8440 | |
Eric S. Bouchard, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 584 Roosevelt Trl Unit 2, Windham, ME 04062 Phone: 207-661-2828 | |
Alison L Doiron, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 Commons Ave Ste A, Windham, ME 04062 Phone: 207-893-1738 |