Individual provider Active NPI

Michael Cameron Duff, PT

  • Physical Therapist
  • Auburn, ME
National Provider Identifier
1053358051
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2553 Issued in ME
Practice address
637 Minot Ave
Auburn, ME 04210-4052
Phone
(207) 783-3393
Fax
(207) 783-0848
NPI assigned
May 31, 2006
Last updated
Sep 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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 PT2553 ME Primary

Addresses

Primary practice location

637 Minot Ave
Auburn, ME 04210-4052

Mailing address

637 Minot Ave
Auburn, ME 04210-4052
Phone (207) 783-3393

Other identifiers 1

IdentifierTypeStateIssuer
027949OtherMEANTHEM BCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240827001739 NC Practitioner - Physical Therapist in Private Practice 7315989308 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT2553MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Therapy Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Advanced Therapy, PLLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients

Locations

8300 Falls of Neuse Rd
Ste 104
Raleigh, NC 27615
Phone (919) 426-9292

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1053358051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 MINOT AVE",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042104052",
            "telephone_number": "207-783-3393",
            "fax_number": "207-783-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 MINOT AVE",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042104052",
            "telephone_number": "207-783-3393",
            "fax_number": "207-783-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFF",
        "first_name": "MICHAEL",
        "middle_name": "CAMERON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT2553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "027949",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.