Individual provider Active NPI

Nicole Renee Morse

  • Orthopedic Physical Therapist
  • Newport, ME
National Provider Identifier
1154065100
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT3183 Issued in ME
Practice address
118 Moosehead TRL Ste 3
Newport, ME 04953-4056
Phone
(207) 368-2036
NPI assigned
Apr 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT3183 ME Primary

Addresses

Primary practice location

118 Moosehead TRL Ste 3
Newport, ME 04953-4056

Mailing address

118 Moosehead TRL
Newport, ME 04953-4055
Phone (207) 368-2036

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926000560 ME Practitioner - Physical Therapist in Private Practice 4385020577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Function First Therapy LLC 2 clinicians

Practice addresses (Care Compare)

167 Sebasticook St
Pittsfield, ME 04967-4107
Phone (207) 416-2327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT3183MEMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Function First Therapy LLC CurrentSince Sep 21, 2022 Accepting new patients
Sebasticook Valley Health PastSince May 1, 2022 Accepting new patients

Locations

167 Sebasticook St
Pittsfield, ME 04967
Phone (207) 416-2327

Organizations & group practices 2

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": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1154065100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MOOSEHEAD TRL",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049534055",
            "telephone_number": "207-368-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MOOSEHEAD TRL STE 3",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049534056",
            "telephone_number": "207-368-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSE",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ME",
            "license": "PT3183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.