Individual provider Active NPI

Nicole Langstaff, PT

  • Physical Therapist
  • Kennebunk, ME
National Provider Identifier
1245470145
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4151 Issued in ME
Practice address
65 Portland Rd
Kennebunk, ME 04043-6742
Phone
(207) 985-6181
Fax
(203) 227-8809
NPI assigned
Mar 5, 2009
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 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 PT4151 ME Primary

Addresses

Primary practice location

65 Portland Rd
Kennebunk, ME 04043-6742

Mailing address

1 Alewive Park Rd
Kennebunk, ME 04043-6134
Phone (207) 569-6843

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140325001586 ME Practitioner - Physical Therapist in Private Practice 6709934417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 N St
Suite 2
Saco, ME 04072-1867
Phone (207) 282-7121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4151MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc Physical Therapist CurrentSince Dec 9, 2013 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Dec 9, 2013 Accepting new patients
Integrated Rehabilitation Services, LLC Physical Therapist PastSince Sep 15, 2014 Accepting new patients
Integrated Rehabilitation Services Limited Partnership Physical Therapist Past Accepting new patients

Locations

1 Alewive Park Rd
Kennebunk, ME 04043
Phone (207) 286-5400

400 North St
#2
Saco, ME 04072
Phone (207) 282-7121

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

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": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1245470145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ALEWIVE PARK RD",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436134",
            "telephone_number": "207-569-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PORTLAND RD",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436742",
            "telephone_number": "207-985-6181",
            "fax_number": "203-227-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSTAFF",
        "first_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennebunk, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.