Todd Castonguay, PT | |
119 Gannett Dr, South Portland, ME 04106-6942 | |
(207) 773-0040 | |
Not Available |
Full Name | Todd Castonguay |
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Gender | Male |
Speciality | Physical Therapist |
Location | 119 Gannett Dr, South 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 |
---|---|---|---|
1598790214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT011406L (Pennsylvania) | Secondary |
225100000X | Physical Therapist | PT3384 (Maine) | Primary |
Provider Name | Maine Medical Partners |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285738310 PECOS PAC ID: 9335043967 Enrollment ID: O20040525000396 |
Provider Name | Mainehealth |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Mailing Address | Practice Location Address |
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Todd Castonguay, PT 119 Gannett Dr, South Portland, ME 04106-6942 Ph: () - | Todd Castonguay, PT 119 Gannett Dr, South Portland, ME 04106-6942 Ph: (207) 773-0040 |
Kimberly B. Viola, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Rd, West, Ste 205, South Portland, ME 04106 Phone: 207-780-8860 | |
Lorna Kerbel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 260 Western Ave, South Portland, ME 04106 Phone: 207-879-7510 | |
Ms. Anna Elizabeth Chornyak, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 260 Western Ave, South Portland, ME 04106 Phone: 207-879-7510 | |
Carley Sims Eldredge, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 119 Gannett Dr, South Portland, ME 04106 Phone: 207-773-0040 | |
Elizabeth J Maher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 161 Ocean St, South Portland, ME 04106 Phone: 207-799-8226 Fax: 207-799-9340 | |
Andrew Johnson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Rd, West, Suite 205, South Portland, ME 04106 Phone: 207-780-8860 Fax: 207-780-8857 | |
Gregory Foster, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Rd Ste 205, South Portland, ME 04106 Phone: 207-780-8860 Fax: 207-523-8584 |