| Dr Samuel E Lariviere, DPT | |
|
4 Commons Ave Ste A, Windham, ME 04062-5554 | |
| (207) 893-1738 | |
| Not Available |
| Full Name | Dr Samuel E Lariviere |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4 Commons Ave Ste A, Windham, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598248361 | NPI | - | NPPES |
| 1598248361 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT5571 (Maine) | Primary |
| Provider Name | Mullen Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245572486 PECOS PAC ID: 2668774019 Enrollment ID: O20151231001598 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel E Lariviere, DPT 324 Gannett Dr Ste 200, South Portland, ME 04106-3266 Ph: (207) 482-7800 | Dr Samuel E Lariviere, DPT 4 Commons Ave Ste A, Windham, ME 04062-5554 Ph: (207) 893-1738 |
Michael Downing, Physical Therapist Medicare: Medicare Enrolled Practice Location: 584 Roosevelt Trl, Windham, ME 04062 Phone: 207-893-2490 | |
Mr. William Joseph Stanske, RPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4 Commons Ave Ste 4d, Windham, ME 04062 Phone: 207-892-7642 Fax: 207-892-8440 | |
Lindsey K Higginbottom, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4 Commons Ave Ste A, Windham, ME 04062 Phone: 207-893-1738 | |
Wendy Wardwell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 584 Roosevelt Trl, Windham, ME 04062 Phone: 207-893-2490 | |
Lucas Davenport, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4 Commons Ave Ste A, Windham, ME 04062 Phone: 207-282-4210 | |
Eric S. Bouchard, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 584 Roosevelt Trl Unit 2, Windham, ME 04062 Phone: 207-661-2828 | |
Alison L Doiron, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4 Commons Ave Ste A, Windham, ME 04062 Phone: 207-893-1738 |