| Orthopedic & Spine Physical Therapy Of L/a Inc. | |
|
581 Main St, Suite 1, Lewiston, ME 04240-5945 | |
| (207) 777-3002 | |
| (207) 777-3004 |
| Full Name | Orthopedic & Spine Physical Therapy Of L/a Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 581 Main St, Lewiston, Maine |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043266646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT2321 (Maine) | Primary |
| Provider Name | Shan M Teixeira |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568431401 PECOS PAC ID: 2769413772 Enrollment ID: I20050829000844 |
| Mailing Address | Practice Location Address |
|---|---|
| Orthopedic & Spine Physical Therapy Of L/a Inc. 581 Main St, Suite 1, Lewiston, ME 04240-5945 Ph: (207) 777-3002 | Orthopedic & Spine Physical Therapy Of L/a Inc. 581 Main St, Suite 1, Lewiston, ME 04240-5945 Ph: (207) 777-3002 |
Dana Mccoy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Main St, Lewiston, ME 04240 Phone: 207-795-0111 | |
Sarah Mclintock, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 77 Bates St, Lewiston, ME 04240 Phone: 207-795-2122 | |
Heidi Dening, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1190 Lisbon St, Unit 101, Lewiston, ME 04240 Phone: 207-376-3000 Fax: 207-376-3003 | |
Ms. Jacqueline Katz, MSPT,JD Physical Therapist Medicare: Medicare Enrolled Practice Location: 1977 Lisbon Rd, Lewiston, ME 04240 Phone: 207-784-3400 Fax: 207-784-6400 | |
John K Libby, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1190 Lisbon St, Lewiston, ME 04240 Phone: 207-376-3000 Fax: 207-373-3003 | |
Lauren Rose Broderick, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Main St, Lewiston, ME 04240 Phone: 207-795-0111 |