John Gordon Haldeman, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT794 Issued in ME

Practice address

174 S Freeport Rd
Suite 2-C
Freeport, ME 04032-6145

Phone

(207) 865-0004

Fax

(207) 865-3004

NPI assigned

Aug 10, 2006

Last updated

Mar 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freeport Physical Therapy PAGroup PAC ID 0042313819, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Freeport Physical Therapy, PA

  • Physical Medicine & Rehabilitation Physician
  • Freeport, ME
  • NPI 1548331861

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Falmouth Physical Therapy Assoc

  dba Falmouth Physical Therapy

  • Physical Therapist
  • Falmouth, ME
  • NPI 1760444996
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1073524476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 S FREEPORT RD",
            "address_2": "SUITE 2-C",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326145",
            "telephone_number": "207-865-0004",
            "fax_number": "207-865-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 S FREEPORT RD",
            "address_2": "SUITE 2-C",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326145",
            "telephone_number": "207-865-0004",
            "fax_number": "207-865-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALDEMAN",
        "first_name": "JOHN",
        "middle_name": "GORDON",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "098822",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3519267",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312660099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7938937",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA88121",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacey E Goddard, DO
• Meghan Kathleen Gorchoff, LCPC
• Sarah Grant, OT
• Julie M Gray, PA-C
• Nina Sao Haas, DPT
• Bonnie Hart, PT
• Leah Taylor Hartman
• Chris H Haskell, MTCM
• Mary Beth Hassett, L. AC., DIPL. O.M.
• Kari R Haugen, LCPC, CRC

• Physical Therapist in Freeport, ME
• Providers in Freeport, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.