| Lisa J Reardon, PT | |
|
400 Enterprise Drive, Suite 3, Scarborough, ME 04074 | |
| (207) 883-8133 | |
| (207) 883-8226 |
| Full Name | Lisa J Reardon |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 400 Enterprise Drive, Scarborough, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457401093 | NPI | - | NPPES |
| AA32558 | Other | HARVARD PILGRIM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT1503 (Maine) | Primary |
| Provider Name | Jade Trade Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1578753836 PECOS PAC ID: 5597852913 Enrollment ID: O20071101000500 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa J Reardon, PT 400 Enterprise Drive, Suite 3, Scarborough, ME 04074 Ph: (207) 883-8133 | Lisa J Reardon, PT 400 Enterprise Drive, Suite 3, Scarborough, ME 04074 Ph: (207) 883-8133 |
June C Destefano Tait, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 51 Us Route 1, Suite J, Scarborough, ME 04074 Phone: 207-883-1227 Fax: 207-883-6199 | |
Ms. Katherine Foldi, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 67 Pine Point Rd, Scarborough, ME 04074 Phone: 207-883-2468 | |
Ms. Mary B. Powers, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 67 Pine Point Rd, Scarborough, ME 04074 Phone: 207-883-2468 Fax: 207-883-3283 | |
Celeste A Sartor, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 Plaza Dr., Unit 6, Scarborough, ME 04074 Phone: 207-289-1010 Fax: 207-289-1011 | |
Bonnie Topham, Physical Therapist Medicare: Medicare Enrolled Practice Location: 17 Pleasant Ave, Scarborough, ME 04074 Phone: 207-776-3648 | |
Lisa Fosler, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Piper Rd, Scarborough, ME 04074 Phone: 207-883-3700 | |
Mrs. Amy M. Lilley, PT, GCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 121 Holmes Rd, Scarborough, ME 04074 Phone: 207-756-4659 |