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Enrollment ID O20040825001237 resolves to a single NPI record. Open the full profile for complete detail.

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SM
NPI · 1154536472 · Active
Southern Maine Physical Therapy, PA
Specialist · South Portland, Maine
Active
NPI
1154536472
Enrollment ID
O20040825001237
Taxonomy
174400000X
Type
Part B Supplier - Physical/Occupational Therapy Group In Private Practice

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 040910ME· Issued by ANTHEM BCBS
  • MNT112ME· Issued by HARVARD PILGRIM
  • 2433023ME· Issued by AETNA

Source: NPPES public registry.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.