Active NPI
Michael N Burns
- Orthopedic Physical Therapist
- Scarborough, ME
National Provider Identifier
1578851929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT3794
- Practice address
- 360 US Route 1
Scarborough, ME 04074-6700 - Phone
- (207) 883-6789
- NPI assigned
- Jul 19, 2011
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT3794 | ME | Primary |
Addresses
Primary practice location
360 US Route 1
Scarborough, ME 04074-6700
Mailing address
1068 Main St
Ste a
Sanford, ME 04073-3606
Phone (207) 852-2871
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3794 | ME | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilience Maine, LLC | Orthopedic | Current | Accepting new patients |
| Everything in Between, LLC | Past | Accepting new patients | |
| Orthopaedic Physical Therapy Associates | Orthopedic | Past | Accepting new patients |
Locations
23 Hannaford Dr
Scarborough, ME 04074
Phone (207) 707-5300
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.
-
- Occupational Therapist
- Springvale, ME
- NPI 1477190650
-
- Orthopedic Physical Therapist
- Scarborough, ME
- NPI 1063622702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1578851929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1068 MAIN ST",
"address_2": "STE A",
"city": "SANFORD",
"state": "ME",
"postal_code": "040733606",
"telephone_number": "207-852-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 US ROUTE 1",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040746700",
"telephone_number": "207-883-6789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "MICHAEL",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-19",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "ME",
"license": "PT3794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.