Individual provider Active NPI

David C. Higgins, PT, MPT

  • Physical Therapist
  • Portland, ME
National Provider Identifier
1437487147
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3042 Issued in ME
Practice address
512 Warren Ave
Suite 4
Portland, ME 04103-1006
Phone
(207) 878-5002
Fax
(207) 878-5007
NPI assigned
Nov 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3042 ME Primary
Physical Therapist 225100000X

Addresses

Primary practice location

512 Warren Ave
Suite 4
Portland, ME 04103-1006

Mailing address

11 Main St Ste 7
PMB 252
Westbrook, ME 04092-4786
Phone (207) 878-5002

Other identifiers 1

IdentifierTypeStateIssuer
1962783597OtherMEGROUP NPI # FOR PRIVATE PRACTICE

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Austerer Higgins Physical Therapy and Wellness Physical Therapist PastSince Mar 23, 2012 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1437487147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MAIN ST STE 7",
            "address_2": "PMB 252",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924786",
            "telephone_number": "207-878-5002",
            "fax_number": "207-878-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 WARREN AVE",
            "address_2": "SUITE 4",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031006",
            "telephone_number": "207-878-5002",
            "fax_number": "207-878-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "DAVID",
        "middle_name": "C.",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-19",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3042",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI # FOR PRIVATE PRACTICE",
            "identifier": "1962783597",
            "state": "ME"
        }
    ],
    "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 Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.