Individual provider Active NPI

Gregory Violette, DPT

  • Physical Therapist
  • Lewiston, ME
National Provider Identifier
1184407892
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6951 Issued in ME
Practice address
77 Bates St Ste 210
Lewiston, ME 04240-7637
Phone
(207) 795-2122
NPI assigned
Aug 16, 2023
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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 PT6951 ME Primary

Addresses

Primary practice location

77 Bates St Ste 210
Lewiston, ME 04240-7637

Mailing address

77 Bates St Ste 210
Lewiston, ME 04240-7637
Phone (207) 795-2122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230830002848 FL Practitioner - Physical Therapist in Private Practice 5890158323 Reassigns benefits to 1 organization
I20241021002913 ME Practitioner - Physical Therapist in Private Practice 5890158323 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Oct 4, 2024 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince Aug 21, 2023 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince Aug 21, 2023 Accepting new patients
Central Maine Medical Center CurrentSince Oct 4, 2024 Accepting new patients

Locations

13020 N Telecom Pkwy
Temple Terrace, FL 33637

13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000

2653 Bruce B Downs Blvd
Ste 201
Wesley Chapel, FL 33544
Phone (813) 910-3368

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

77 Bates St
Ste 210
Lewiston, ME 04240
Phone (207) 753-7618

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

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": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1184407892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BATES ST STE 210",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407637",
            "telephone_number": "207-795-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BATES ST STE 210",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407637",
            "telephone_number": "207-795-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLETTE",
        "first_name": "GREGORY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-16",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT6951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.