Reform Physical Therapy, Inc | |
45 Forest Falls Dr Ste B1, Yarmouth, ME 04096-6999 | |
(207) 846-3000 | |
Not Available |
Full Name | Reform Physical Therapy, Inc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 45 Forest Falls Dr Ste B1, Yarmouth, Maine |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487028775 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT4350 (Maine) | Primary |
225100000X | Physical Therapist | PT4569 (Maine) | Secondary |
Provider Name | Jennifer S Waddell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790883536 PECOS PAC ID: 9234031097 Enrollment ID: I20040122000531 |
Provider Name | Michael Gallagher |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619176609 PECOS PAC ID: 8426141367 Enrollment ID: I20070907000582 |
Provider Name | Christina Levesque |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629414776 PECOS PAC ID: 1456595776 Enrollment ID: I20150126000504 |
Provider Name | Pamela Ford |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780036061 PECOS PAC ID: 7911295472 Enrollment ID: I20161017000465 |
Provider Name | Ryan Mulligan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356864953 PECOS PAC ID: 3476824954 Enrollment ID: I20170801003469 |
Provider Name | Sean A Jeffrey |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174040406 PECOS PAC ID: 2961775143 Enrollment ID: I20170911001178 |
Provider Name | Jennifer L Field |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063932481 PECOS PAC ID: 3274808357 Enrollment ID: I20170929002531 |
Provider Name | Robert G Cochrane |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770831398 PECOS PAC ID: 5496002545 Enrollment ID: I20180719002583 |
Provider Name | Samantha Bowdenwood |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053805689 PECOS PAC ID: 6800147448 Enrollment ID: I20180921000128 |
Provider Name | Branden George |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689142044 PECOS PAC ID: 5193069540 Enrollment ID: I20181212000312 |
Provider Name | Timothy P Davoren |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588648869 PECOS PAC ID: 1052657541 Enrollment ID: I20190103001543 |
Provider Name | Delaney Gaetano |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871062406 PECOS PAC ID: 6608115662 Enrollment ID: I20190308002082 |
Provider Name | Nicholas Paul Pare |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841832680 PECOS PAC ID: 8527390608 Enrollment ID: I20191022001585 |
Provider Name | Alex Anthony Tsomides |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952909293 PECOS PAC ID: 1254741424 Enrollment ID: I20201029002746 |
Provider Name | Brandon Kyle Bourgoin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215532668 PECOS PAC ID: 8123431533 Enrollment ID: I20210104000898 |
Provider Name | Devin Bulick |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952074320 PECOS PAC ID: 8426455973 Enrollment ID: I20210925000036 |
Provider Name | Jessica Hainsworth |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619579661 PECOS PAC ID: 1850798232 Enrollment ID: I20210928001447 |
Provider Name | Kelly Marie Williamson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962912550 PECOS PAC ID: 5991071110 Enrollment ID: I20211020000925 |
Provider Name | Rachelle Jenkins |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043293483 PECOS PAC ID: 1355234915 Enrollment ID: I20220107001485 |
Provider Name | Bradley R Frenette |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730851056 PECOS PAC ID: 4486049053 Enrollment ID: I20220317000612 |
Provider Name | Alexander D True |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326733965 PECOS PAC ID: 8527427830 Enrollment ID: I20230705002374 |
Provider Name | Payton Lima |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073268462 PECOS PAC ID: 4082009618 Enrollment ID: I20240529001684 |
Mailing Address | Practice Location Address |
---|---|
Reform Physical Therapy, Inc 190 Pleasant St, Brunswick, ME 04011-2213 Ph: () - | Reform Physical Therapy, Inc 45 Forest Falls Dr Ste B1, Yarmouth, ME 04096-6999 Ph: (207) 846-3000 |
James Thomas Townsend, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 259 Main St, Yarmouth, ME 04096 Phone: 207-780-8860 Fax: 207-523-8584 | |
Kassie Sue Joler, Physical Therapist Medicare: Medicare Enrolled Practice Location: 50 Forest Falls Dr, Yarmouth, ME 04096 Phone: 207-846-8725 Fax: 207-846-8728 | |
Mrs. Kimberly Ann Stoeckel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 50 Forest Falls Dr, Suite 2, Yarmouth, ME 04096 Phone: 207-846-8725 Fax: 207-846-8728 | |
Miss Heather Lynn Wacksman, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 Forest Falls Dr, Suite 2, Yarmouth, ME 04096 Phone: 207-846-8725 Fax: 207-846-8728 | |
Nancy Crawford, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 Forest Falls Dr, Suite 2, Yarmouth, ME 04096 Phone: 207-846-8725 Fax: 207-846-8728 | |
Mr. Shawn H Wyman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 370 Portland St, Yarmouth, ME 04096 Phone: 207-846-9021 Fax: 207-846-1497 | |
Christopher Costello, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 78 Autumn Ln, Yarmouth, ME 04096 Phone: 617-686-2584 |