| Performance Physical Therapy And Sports Rehab Inc. | |
|
277 State St, Suite 1b, Bangor, ME 04401-5439 | |
| (207) 356-9810 | |
| Not Available |
| Full Name | Performance Physical Therapy And Sports Rehab Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 277 State St, Bangor, Maine |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215333554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT4035 (Maine) | Primary |
| Provider Name | Bradley L Libby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932533262 PECOS PAC ID: 8628204591 Enrollment ID: I20131125000044 |
| Provider Name | Ian W Bauersfeld |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003394099 PECOS PAC ID: 5193060986 Enrollment ID: I20181226000829 |
| Provider Name | Marley Harmon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275148579 PECOS PAC ID: 0042630451 Enrollment ID: I20201022003009 |
| Provider Name | Kailee A Grant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386212918 PECOS PAC ID: 6002217643 Enrollment ID: I20210702000510 |
| Provider Name | Keith N Bartlett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437826096 PECOS PAC ID: 5890191571 Enrollment ID: I20210903000776 |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Physical Therapy And Sports Rehab Inc. 95 Sunset Strip, Brewer, ME 04412-1632 Ph: () - | Performance Physical Therapy And Sports Rehab Inc. 277 State St, Suite 1b, Bangor, ME 04401-5439 Ph: (207) 356-9810 |
Dr. Ian William Bauersfeld, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 277 State St Ste 1b, Bangor, ME 04401 Phone: 207-922-4000 | |
Susan Austin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 133 Corporate Dr, Suite 2, Bangor, ME 04401 Phone: 207-992-9286 Fax: 207-992-9287 | |
Dr. Richard Adam Sukiennik, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 758 Broadway, Bangor, ME 04401 Phone: 207-941-8400 Fax: 207-990-1745 | |
Pine Tree Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 760 Union St, Bangor, ME 04401 Phone: 207-942-2266 Fax: 207-942-7577 | |
Mrs. Anne J Knowles, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16 Penn Plz Ste 22, Bangor, ME 04401 Phone: 207-947-8077 Fax: 207-947-3721 | |
Ms. Elissa Madore, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 82 Sylvan Rd, Bangor, ME 04401 Phone: 207-401-4324 Fax: 207-401-4325 | |
Mr. Delany B Wilkes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12 Stillwater Ave, Bangor, ME 04401 Phone: 207-945-2946 |