Individual provider Active NPI

Nathaniel Francis Runge, DPT

  • Physical Therapist
  • Westbrook, ME
National Provider Identifier
1073540860
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3488 Issued in ME
Practice address
23 Bridgton Rd
Suite 2
Westbrook, ME 04092-3653
Phone
(207) 797-3477
Fax
(207) 797-8577
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 40QA01061200 NJ
Physical Therapist 225100000X PT3488 ME Primary

Addresses

Primary practice location

23 Bridgton Rd
Suite 2
Westbrook, ME 04092-3653

Mailing address

23 Bridgton Rd
Suite 2
Westbrook, ME 04092-3653
Phone (207) 797-3477

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024000335 ME Practitioner - Physical Therapist in Private Practice 0648204362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reform Physical Therapy IncGroup PAC ID 7214239540, 23 clinicians

Practice addresses (Care Compare)

23 Durham Rd
Suite 101
Freeport, ME 04032-6796
Phone (207) 725-4400

233 US Route 1
Yarmouth, ME 04096-6726
Phone (207) 846-3300

439 Lewiston Rd
Topsham, ME 04086-6186
Phone (207) 725-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01061200NJMDPhysical Medicine & Rehabilitation Physician
PT3488MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reform Physical Therapy, Inc Physical Therapist CurrentSince Sep 24, 2024 Accepting new patients
Rivertree Osteopathic Health PC Past Accepting new patients
Riverview Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients
Riverview Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients

Locations

190 Pleasant St
Brunswick, ME 04011

23 Durham Rd
Ste 101
Freeport, ME 04032
Phone (207) 725-4400

233 US Route 1
Ste 1B
Yarmouth, ME 04096

233 US Route 1
Yarmouth, ME 04096
Phone (207) 846-3300

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1073540860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BRIDGTON RD",
            "address_2": "SUITE 2",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923653",
            "telephone_number": "207-797-3477",
            "fax_number": "207-797-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BRIDGTON RD",
            "address_2": "SUITE 2",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923653",
            "telephone_number": "207-797-3477",
            "fax_number": "207-797-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNGE",
        "first_name": "NATHANIEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "40QA01061200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.