Angela L Grunkemeyer, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6649 Issued in ME

Practice address

340 Bath Rd
Brunswick, ME 04011-2651

Phone

(877) 407-3422

Fax

(877) 407-4329

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Angela L Mullins Former name

Electronic endpoints 5

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Rehabilitation Services Me LLC

  • Physical Therapist
  • Portland, ME
  • NPI 1164175535
  Medicare reassignment NPD
• Elite Physical Therapy & Sports Performance Bluffton

  • Physical Therapist
  • Bluffton, SC
  • NPI 1821683517
  NPD
• Prorehab PC

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1538119409
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1518038173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 N MORRISON RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045547",
            "telephone_number": "765-281-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BATH RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112651",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Blueberry Ln",
            "address_purpose": "LOCATION",
            "city": "Falmouth",
            "state": "ME",
            "postal_code": "041052807",
            "country_code": "US",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-5329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747305",
            "country_code": "US",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3631 N Morrison Rd",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473045547",
            "country_code": "US",
            "telephone_number": "765-281-3443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Huntington Common Dr",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040436558",
            "country_code": "US",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUNKEMEYER",
        "first_name": "ANGELA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "6649",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2006025641",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.grunkemeyermspt.p39@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3631 N Morrison Rd",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473045547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "FOX REHABILITATION SERVICES ME LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1 Huntington Common Dr",
            "city": "Kennebunk",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040436558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "FOX REHABILITATION SERVICES ME LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "340 Bath Rd",
            "city": "Brunswick",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040112651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "FOX REHABILITATION SERVICES ME LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "32 Blueberry Ln",
            "city": "Falmouth",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041052807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "FOX REHABILITATION SERVICES ME LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "600 Commerce Dr",
            "city": "Scarborough",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040747305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MULLINS",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tessa Grindle
• Stephanie Joan Grohs, MD
• Suzanne Grondin, D.C.
• Amber Gross, LCPC
• Carl W Grove, RPH
• Guardian Loving Care LLC
• Guardian Pharmacy of Maine LLC
• Guardian Pharmacy of Maine, LLC
• Julie Guerrette, PMHNP
• Darrin Paul Guitreau, PA-C

• Physical Therapist in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.