| Pouzol Physical Therapy, Pa | |
| 33 Penn Plaza, Suite B, Bangor, ME 04401 | |
| (207) 990-2050 | |
| (207) 990-2051 | 
| Full Name | Pouzol Physical Therapy, Pa | 
|---|---|
| Type | Facility | 
| Speciality | Physical Therapist | 
| Location | 33 Penn Plaza, 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 | 
|---|---|---|---|
| 1982790945 | NPI | - | NPPES | 
| 124440000 | Medicaid | ME | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 744 (Maine) | Primary | 
| Provider Name | Jill Overlock | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1598849044 PECOS PAC ID: 0244317568 Enrollment ID: I20080410000104 | 
| Provider Name | Douglas King | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1154405686 PECOS PAC ID: 0941388326 Enrollment ID: I20080516000092 | 
| Provider Name | Karen E Mitchell | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1659503167 PECOS PAC ID: 7113065657 Enrollment ID: I20091103000658 | 
| Provider Name | Teri J Carr | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1891084687 PECOS PAC ID: 1456577808 Enrollment ID: I20140722000446 | 
| Provider Name | Anne E Johnson | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1710391412 PECOS PAC ID: 6901129790 Enrollment ID: I20141231001664 | 
| Provider Name | Emily J Dumont | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1043565138 PECOS PAC ID: 5496902066 Enrollment ID: I20211216000974 | 
| Provider Name | Claire M Demartino | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1013740315 PECOS PAC ID: 2062952468 Enrollment ID: I20240912000980 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pouzol Physical Therapy, Pa 33 Penn Plaza, Suite B, Bangor, ME 04401 Ph: (207) 990-2050 | Pouzol Physical Therapy, Pa 33 Penn Plaza, Suite B, Bangor, ME 04401 Ph: (207) 990-2050 | 
| 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: Medicare Enrolled 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 | |
| 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 | |
| Mikaylah Payeur,  Physical Therapist Medicare: Medicare Enrolled Practice Location: 1365 Broadway, Bangor, ME 04401 Phone: 207-942-2233 |