Active NPI
Emmanuel Salvador Punelas, PT,CSCS
- Physical Therapist
- Caribou, ME
National Provider Identifier
1346474160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3005
- Practice address
- 163 Van Buren Rd
1
Caribou, ME 04736-3567 - Phone
- (207) 498-1618
- NPI assigned
- May 7, 2009
- Last updated
- May 7, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3005 | ME | Primary |
Addresses
Primary practice location
163 Van Buren Rd
1
Caribou, ME 04736-3567
Mailing address
495 Main St
Apartment 3
Caribou, ME 04736-4301
Phone (207) 554-8956
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Caribou | Past | Accepting new patients |
Organizations & group practices 1
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": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241654400000",
"number": "1346474160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 MAIN ST",
"address_2": "APARTMENT 3",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047364301",
"telephone_number": "207-554-8956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 VAN BUREN RD",
"address_2": "1",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047363567",
"telephone_number": "207-498-1618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUNELAS",
"first_name": "EMMANUEL",
"middle_name": "SALVADOR",
"name_prefix": "Mr.",
"credential": "PT,CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-07",
"last_updated": "2009-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "3005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caribou, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.