| Mast Clinic Inc | |
|
980 Forest Ave, Portland, ME 04103-3388 | |
| (207) 321-9027 | |
| (207) 747-4107 |
| Full Name | Mast Clinic Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 980 Forest Ave, Portland, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407818602 | NPI | - | NPPES |
| 12403000 | Medicaid | ME | |
| 336900099 | Medicaid | ME | |
| 11364602 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT677 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mast Clinic Inc 94 Rackleff St, Portland, ME 04103 Ph: (207) 321-9027 | Mast Clinic Inc 980 Forest Ave, Portland, ME 04103-3388 Ph: (207) 321-9027 |
Dr. Samuel Brian Methot, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 331 Veranda St Ste 401, Portland, ME 04103 Phone: 207-536-0702 Fax: 207-536-0785 | |
Alison Glass, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-4892 | |
Rebecca Naomi Lewis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 914-715-0610 | |
Wendy A Richards, MS PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 94 Auburn St, Suite 3, Portland, ME 04103 Phone: 207-797-7578 Fax: 207-797-8165 | |
Gianna Gabrielle Pezzano, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 331 Veranda St Rm 3311, Portland, ME 04103 Phone: 207-536-0702 Fax: 207-536-0785 | |
Dr. Elizabeth Goodrich, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 561 Congress St, Portland, ME 04101 Phone: 207-536-4968 | |
Alliance Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 Veranda St Ste 401, Portland, ME 04103 Phone: 207-536-0702 Fax: 207-536-0785 |