Individual provider Active NPI

Steve Nadeau, P.T.

  • Physical Therapist
  • Brunswick, ME
National Provider Identifier
1376870378
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1301 Issued in ME
Practice address
22 Lincoln St
Brunswick, ME 04011-1912
Phone
(207) 729-1164
Fax
(207) 725-0905
NPI assigned
Nov 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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 PT1301 ME Primary

Addresses

Primary practice location

22 Lincoln St
Brunswick, ME 04011-1912

Mailing address

21 Zephyr Rd
Raymond, ME 04071-6729
Phone (207) 655-7416

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230220001626 ME Practitioner - Physical Therapist in Private Practice 2365814365 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT1301MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings, Inc. Physical Therapist CurrentSince Sep 16, 2023 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Sep 16, 2023 Accepting new patients
Greater Brunswick Physical Therapy P.a. Physical Therapist Past Accepting new patients

Locations

730 Center St
Ste 9
Auburn, ME 04210
Phone (207) 783-3450

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1376870378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ZEPHYR RD",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "040716729",
            "telephone_number": "207-655-7416",
            "fax_number": "207-725-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 LINCOLN ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040111912",
            "telephone_number": "207-729-1164",
            "fax_number": "207-725-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADEAU",
        "first_name": "STEVE",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.