Active NPI
Dallas S Hartwig, PT
- Physical Therapist
- Brunswick, ME
National Provider Identifier
1144277963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2754
- Practice address
- 34 Hennessey Ave
Brunswick, ME 04011-2333 - Phone
- (207) 373-1101
- Fax
- (207) 373-1109
- NPI assigned
- May 27, 2006
- Last updated
- Jul 13, 2026
- 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 | PT2754 | ME | Primary |
Addresses
Primary practice location
34 Hennessey Ave
Brunswick, ME 04011-2333
Mailing address
PO Box 396
Gray, ME 04039-0396
Phone (207) 373-1101
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2754 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitative Associates Inc | Physical Therapist | Past | Accepting new patients |
| New England Fitness | Past | Accepting new patients | |
| Premier Physical Therapy-Midcoast, LLC | Physical Therapist | Past | Accepting new patients |
| Rehabilitative Associates Inc | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1144277963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 396",
"city": "GRAY",
"state": "ME",
"postal_code": "040390396",
"telephone_number": "207-373-1101",
"fax_number": "207-373-1109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 HENNESSEY AVE",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112333",
"telephone_number": "207-373-1101",
"fax_number": "207-373-1109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTWIG",
"first_name": "DALLAS",
"middle_name": "S",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT2754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.