SACO BAY ORTHOPAEDIC SPORTS & PHYSICAL THERAPY
NPI 1104412212
Clinic/Center - Rehabilitation in Saco, ME

NPI Status: Active since December 14, 2020

Contact Information

895 PORTLAND RD
SACO, ME
ZIP 04072
Phone: (207) 439-5104

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  • Organization
  • Clinic/Center
  • Rehabilitation
  • Accepts Insurance
  • CLIA Number: 20D2300356
  • CLIA Cert. Type: Other - WORKSITES
  • CLIA Exp. Date: 03-07-2026

About SACO BAY ORTHOPAEDIC SPORTS & PHYSICAL THERAPY

This page provides the complete NPI Profile along with additional information for Saco Bay Orthopaedic Sports & Physical Therapy, a provider established in Saco, Maine operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1104412212 assigned on December 2020. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Saco Bay Orthopaedic Sports & Physical Therapy. The authorized official of this NPI record is Michael E Tarvin (Vice President)

NPI
1104412212
Provider Legal Name
SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC.
Other Organization Name
SACO BAY ORTHOPAEDIC SPORTS & PHYSICAL THERAPY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
895 PORTLAND RD SACO, ME 04072
Location Phone
(207) 439-5104
Mailing Address
4714 GETTYSBURG RD MECHANICSBURG, PA 17055
Mailing Phone
(717) 972-1100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2020
Last Update Date
09-22-2021
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation

Taxonomy Code
261QR0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred Blue PPO 6000/20%/8000 w/HSA - PPO
  • Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA - PPO
  • Anthem Bronze Preferred Blue PPO 7500/30%/10000 Value - PPO
  • Anthem Bronze Preferred Blue PPO 8500/50%/9200 - PPO
  • Anthem Gold Preferred Blue PPO 1000/20%/7500 - PPO
  • Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD - PPO
  • Anthem Gold Preferred Blue PPO 2000/10%/4600 w/HSA - PPO
  • Anthem Gold Preferred Blue PPO 2000/10%/7500 - PPO
  • Anthem Gold Preferred Blue PPO 2000/20%/4600 w/HSA - PPO
  • Anthem Gold Preferred Blue PPO 3000/0%/7500 RxD - PPO
  • Anthem Gold Preferred Blue PPO 500/30%/9000 - PPO
  • Anthem Platinum Preferred Blue PPO 250/10%/3500 - PPO
  • Anthem Silver Preferred Blue PPO 2500/30%/10000 Value - PPO
  • Anthem Silver Preferred Blue PPO 3000/30%/9000 Value - PPO
  • Anthem Silver Preferred Blue PPO 3500/20%/10000 - PPO
  • Anthem Silver Preferred Blue PPO 3500/20%/7250 w/HSA - PPO
  • Anthem Silver Preferred Blue PPO 4000/0%/9000 - PPO
  • Anthem Silver Preferred Blue PPO 4000/0%/9000 RxD - PPO
  • Anthem Silver Preferred Blue PPO 4000/10%/7250 w/HSA - PPO
  • Anthem Silver Preferred Blue PPO 4000/20%/8500 - PPO
  • Anthem Bronze Pathway X Enhanced 6000/35% HSA - HMO
  • Anthem Bronze Pathway X Enhanced 7000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
  • Anthem Catastrophic Pathway X Enhanced - HMO
  • Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Gold Pathway X Enhanced 2000/25% ($0 Virtual PCP + $0 Select Drug) Standard - HMO
  • Anthem Gold Pathway X Enhanced 700/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway X Enhanced 6000/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway X Enhanced 4500/20% HSA - HMO
  • Anthem Silver Pathway X Enhanced 5500/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway X Enhanced 6000/40% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Bronze Pathway X HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Pathway X HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Pathway X HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Pathway X HMO 8500/50%/9200 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL E TARVIN

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(717) 972-1100

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
20D2300356
Facility Type
Other - WORKSITES
Certificate Effective Date
March 08, 2024
Certificate Expiration Date
March 07, 2026
Laboratory Director
DENISE D. DUMONT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Saco Bay Orthopaedic Sports & Physical Therapy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SACO BAY ORTHOPAEDIC SPORTS & PHYSICAL THERAPY

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104412212, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 8 + 1 + 4 + 2 + 2 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104412212.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
895 PORTLAND RD
SACO, ME 04072
Occupational Therapist (Pediatrics)
895 PORTLAND RD
SACO, ME 04072
Physical Therapy Assistant
895 PORTLAND RD
SACO, ME 04072
Occupational Therapist
895 PORTLAND RD
SACO, ME 04072
Occupational Therapy Assistant
895 PORTLAND RD
SACO, ME 04072
Physical Therapy Assistant
895 PORTLAND RD
SACO, ME 04072
Occupational Therapist (Pediatrics)
895 PORTLAND RD
SACO, ME 04072
Physical Therapy Assistant
895 PORTLAND RD
SACO, ME 04072
Occupational Therapist
895 PORTLAND RD
SACO, ME 04072
Physical Therapy Assistant
895 PORTLAND RD
SACO, ME 04072
Occupational Therapist
895 PORTLAND RD
SACO, ME 04072
Physical Therapist
895 PORTLAND RD
SACO, ME 04072
Occupational Therapist
895 PORTLAND RD
SACO, ME 04072
Clinic/Center (Physical Therapy)
895 PORTLAND RD
SACO, ME 04072
Physical Therapist (Pediatrics)
895 PORTLAND RD
SACO, ME 04072
Physical Therapist
895 PORTLAND RD
SACO, ME 04072
Speech-Language Pathologist
895 PORTLAND RD
SACO, ME 04072
Occupational Therapist
895 PORTLAND RD
SACO, ME 04072
Physical Therapist
895 PORTLAND RD
SACO, ME 04072
Physical Therapist (Pediatrics)
895 PORTLAND RD
SACO, ME 04072

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104412212, enumerated as an "organization" on December 14, 2020.

The provider is located at 895 PORTLAND RD SACO, ME 04072 and the phone number is (207) 439-5104.

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld and Anthem Blue. Please consult your insurance carrier or call the provider to verify.