Individual provider Active NPI

Samuel Brian Methot, DPT

  • Physical Therapist
  • Portland, ME
National Provider Identifier
1013676121
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6113 Issued in ME
Practice address
331 Veranda St Ste 401
Portland, ME 04103-5545
Phone
(207) 536-0702
Fax
(207) 536-0785
NPI assigned
Dec 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT6113 ME Primary

Addresses

Primary practice location

331 Veranda St Ste 401
Portland, ME 04103-5545

Mailing address

324 Gannett Dr Ste 200
South Portland, ME 04106-3266
Phone (207) 482-7800

Other identifiers 1

IdentifierTypeStateIssuer
PT6113OtherMEME LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211229001343 ME Practitioner - Physical Therapist in Private Practice 3971994914 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT6113MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Rehabilitation Network, LLC Physical Therapist Current Accepting new patients
Pinnacle Rehabilitation Network LLC Physical Therapist CurrentSince Mar 6, 2023 Accepting new patients
Pinnacle Rehabilitation Network LLC Physical Therapist CurrentSince Mar 6, 2023 Accepting new patients
Pinnacle Rehabilitation Network LLC Physical Therapist Past Accepting new patients
Pinnacle Rehabilitation Network LLC Physical Therapist Past Accepting new patients

Locations

6 Barra Rd
Unit 2
Biddeford, ME 04005
Phone (207) 282-5386

74 Gray Rd
Falmouth, ME 04105
Phone (207) 774-3070

331 Veranda St
Ste 401
Portland, ME 04103
Phone (207) 536-0702

199 Main St
Saco, ME 04072
Phone (207) 229-2398

73 Newton Rd
Unit 101
Plaistow, NH 03865
Phone (978) 388-7272

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Rehabilitation Network LLC 105 clinicians

Practice addresses (Care Compare)

331 Veranda St
Suite 401
Portland, ME 04103-5545
Phone (207) 536-0702

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1013676121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-482-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 VERANDA ST STE 401",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035545",
            "telephone_number": "207-536-0702",
            "fax_number": "207-536-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METHOT",
        "first_name": "SAMUEL",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-16",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT6113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME LICENSE",
            "identifier": "PT6113",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.