Individual provider Active NPI

Dallas S Hartwig, PT

  • Physical Therapist
  • Brunswick, ME
National Provider Identifier
1144277963
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2754 Issued in ME
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 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

LicenseStateTypeSpecialty
PT2754MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.