Active NPI
Dustin B Hurd, PT
- Physical Therapist
- Portland, ME
National Provider Identifier
1366603532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3426
- Practice address
- 33 Sewall St
Portland, ME 04102-2603 - Phone
- (207) 828-2100
- Fax
- (207) 828-2190
- NPI assigned
- Jun 20, 2008
- 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 | PT3426 | ME | Primary |
Addresses
Primary practice location
33 Sewall St
Portland, ME 04102-2603
Mailing address
454 Kit Carson
Presidio of Monterey, CA 93940
Phone (831) 242-6740
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3426 | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1366603532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "454 KIT CARSON",
"city": "PRESIDIO OF MONTEREY",
"state": "CA",
"postal_code": "93940",
"telephone_number": "831-242-6740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 SEWALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022603",
"telephone_number": "207-828-2100",
"fax_number": "207-828-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURD",
"first_name": "DUSTIN",
"middle_name": "B",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-20",
"last_updated": "2024-07-18",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT3426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.