Provider Demographics
NPI:1699860304
Name:HUGHES PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:HUGHES PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO GENERAL COUNSEL
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CORBETT HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:207-667-4800
Mailing Address - Street 1:78 BEECHLAND ROAD
Mailing Address - Street 2:
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605
Mailing Address - Country:US
Mailing Address - Phone:207-667-4800
Mailing Address - Fax:207-667-5600
Practice Address - Street 1:78 BEECHLAND ROAD
Practice Address - Street 2:
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605
Practice Address - Country:US
Practice Address - Phone:207-667-4800
Practice Address - Fax:207-667-5600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1699860304OtherMEDICARE RAILROAD
ME1699860304OtherHARVARD PILGRIM
ME1699860304Medicaid
ME610682600OtherUS DEPT OF LABOR
ME1699860304OtherCIGNA HEALTHCARE
ME1699860304OtherAETNA
ME1699860304OtherANTHEM BLUE CROSS AND BLUE SHIELD
ME1699860304OtherTRICARE
ME610682600OtherUS DEPT OF LABOR
ME1699860304OtherTRICARE