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

Jack Foreman

Individual provider Physical Therapist · NPI 1891673653

Jack Foreman is a Physical Therapist in Private Practice in Calais, Maine. Qualified in 2025, 1 year ago. Practices with Ati Holdings, LLC, a 439-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
1
Licensed in
ME
In the registry since
2025

Practice location Address checks out

24 Hospital Ln
Calais, ME 04619-1329
Phone: (207) 454-2544
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT7305 (ME)

Record details

NPI number1891673653
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2025
Last updated in NPPESDecember 20, 2025
Certification dateDecember 20, 2025
Mailing address24 Hospital Ln, Calais, ME 04619-1329

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ati Holdings, Llc — 439 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Calais