Active NPI
Nicole Renee Morse
- Orthopedic Physical Therapist
- Newport, ME
National Provider Identifier
1154065100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT3183
- 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
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT3183 | ME | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Function First Therapy LLC | Current | Accepting new patients | |
| Sebasticook Valley Health | Past | 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.
-
- Rural Health Clinic/Center
- Unity, ME
- NPI 1427181486
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.