Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sandy River Podiatry, PA

Organization Podiatrist · NPI 1336367416

Sandy River Podiatry, PA is a Podiatrist in Farmington, Maine. Licensed in Maine. Registered with an NPI since 2007.

Licensed in
ME
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

114 Perham St
Farmington, ME 04938-1520
Phone: (207) 779-1002
Fax: (207) 779-1091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence POD1034 (ME)

Record details

NPI number1336367416
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Johnson — Owner · (207) 779-1002
NPI enumeratedApril 23, 2007
Last updated in NPPESSeptember 16, 2009
Mailing address114 Perham St, Farmington, ME 04938-1520