Stephen Raymond Small, PHYSICAL THERAPIST | |
26 Portland Street, Portland, ME 04101 | |
(207) 761-8402 | |
(207) 761-8405 |
Full Name | Stephen Raymond Small |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 26 Portland Street, Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780891481 | NPI | - | NPPES |
061343 | Other | ME | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT1506 (Maine) | Primary |
Provider Name | Goodwill Industries Of Northern New England |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1588785463 PECOS PAC ID: 7911961032 Enrollment ID: O20041119000381 |
Mailing Address | Practice Location Address |
---|---|
Stephen Raymond Small, PHYSICAL THERAPIST 75 Washington Ave, Ste 300, Portland, ME 04101-2665 Ph: (207) 761-8402 | Stephen Raymond Small, PHYSICAL THERAPIST 26 Portland Street, Portland, ME 04101 Ph: (207) 761-8402 |
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 |