SOUTHERN MAINE PHYSICAL MEDICINE AND REHABILITATION, PLLC - NPI 1487691879 - Neuromusculoskeletal Medicine, Sports Medicine in Portland, ME

Q: What is Southern Maine Physical Medicine And Rehabilitation, PLLC's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

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About Southern Maine Physical Medicine And Rehabilitation, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN MAINE PHYSICAL MEDICINE AND REHABILITATION, PLLC (NPI 1487691879) is a healthcare organization registered as a neuromusculoskeletal medicine, sports medicine in Portland, Maine and active in the NPI registry since June 2006. The organization lists Elwood I Fox, President/physician, as its authorized official.

NPPES Registry Identity

NPI1487691879

Entity TypeOrganization

Primary Taxonomy204C00000X

Legal Business NameSOUTHERN MAINE PHYSICAL MEDICINE AND REHABILITATION, PLLC

Location Address335 BRIGHTON AVEPortland, ME 04102-2362

Mailing AddressPo Box 178Gorham, ME 04038-0178 · (207) 893-2992

Phone(207) 775-4000

Organization SubpartNo

Authorized OfficialElwood I FoxPresident/physician · (207) 893-2992

Enumeration DateJune 2, 2006

Last NPPES UpdateJuly 21, 2008

✔ NPI 1487691879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code204C00000X

License✔ Licensed in ME · 1709

Definition

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/

335 BRIGHTON AVE, Portland, ME 04102

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAINEHEALTH

Orthopaedic Surgery (Orthopaedic Trauma)

335 BRIGHTON AVE, SUITE 200
PORTLAND, ME 04102

Cumberland County (207) 662-8600

MAINE MEDICAL PARTNERS

Orthopaedic Surgery (Orthopaedic Trauma)

335 BRIGHTON AVE, SUITE 200
PORTLAND, ME 04102

Cumberland County (207) 662-8600

DR. FRED FRIDMAN D.O.

Physical Medicine & Rehabilitation