Active NPI
Warren W Hughes, MSPT
- Physical Therapist
- Ellsworth, ME
National Provider Identifier
1063507754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2544
- Practice address
- 78 Beechland Road
Ellsworth, ME 04605 - Phone
- (207) 667-4800
- Fax
- (207) 667-5600
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2544 | ME | Primary |
Addresses
Primary practice location
78 Beechland Road
Ellsworth, ME 04605
Mailing address
78 Beechland Road
Ellsworth, ME 04605
Phone (207) 667-4800
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063507754 | Medicaid | ME | |
| 1063507754 | Other | ME | CIGNA |
| 1063507754 | Other | ME | TRICARE |
| 1063507754 | Other | ME | HARVARD PILGRIM |
| 1063507754 | Other | ME | MEDICARE RAILROAD CARRIER |
| 1063507754 | Other | ME | AETNA |
| 1063507754 | Other | ME | ANTHEM BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1063507754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 BEECHLAND ROAD",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "04605",
"telephone_number": "207-667-4800",
"fax_number": "207-667-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 BEECHLAND ROAD",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "04605",
"telephone_number": "207-667-4800",
"fax_number": "207-667-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "WARREN",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT2544",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063507754",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1063507754",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1063507754",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "1063507754",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD CARRIER",
"identifier": "1063507754",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1063507754",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
"identifier": "1063507754",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ellsworth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.