Provider Demographics
NPI:1194839449
Name:NEUROLOGICAL REHABILITATION THERAPY
Entity Type:Organization
Organization Name:NEUROLOGICAL REHABILITATION THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALPERT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:207-878-8244
Mailing Address - Street 1:12 SLOCUM DR
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-1881
Mailing Address - Country:US
Mailing Address - Phone:207-878-8244
Mailing Address - Fax:207-878-8244
Practice Address - Street 1:12 SLOCUM DR
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1881
Practice Address - Country:US
Practice Address - Phone:207-878-8244
Practice Address - Fax:207-878-8244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT358261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME003709OtherBLUE CROSS AND BLUE SHIEL
ME1041775OtherAETNA
ME1314716OtherCIGNA OF MAINE
ME6993522OtherCIGNA
ME1041775OtherAETNA