| Mr Jeffrey M Thibodeau, DPT | |
|
180 Waterman Dr, South Portland, ME 04106-3659 | |
| (207) 550-0660 | |
| Not Available |
| Full Name | Mr Jeffrey M Thibodeau |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 180 Waterman 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 |
|---|---|---|---|
| 1629358502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT3739 (Maine) | Primary |
| Provider Name | Saco Bay Orthopaedic And Sports Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1346254315 PECOS PAC ID: 9537069265 Enrollment ID: O20040109000951 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeffrey M Thibodeau, DPT 68 Robie St, Gorham, ME 04038-1726 Ph: (207) 432-7536 | Mr Jeffrey M Thibodeau, DPT 180 Waterman Dr, South Portland, ME 04106-3659 Ph: (207) 550-0660 |
Kimberly B. Viola, DPT Physical Therapist Medicare: Medicare Enrolled 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: Medicare Enrolled 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: 50 Foden Rd, South Portland, ME 04106 Phone: 207-780-8860 Fax: 207-780-8857 | |
Dr. Nathan P Brewster, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 50 Foden Rd, South Portland, ME 04106 Phone: 207-780-8860 |