Active NPI
Ted R Stratman, D.C.
- Chiropractor
- Lewiston, ME
National Provider Identifier
1609875012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CR1358
- Practice address
- 416 Sabattus St
Lewiston, ME 04240-5430 - Phone
- (207) 777-3333
- Fax
- (207) 786-8921
- NPI assigned
- Jul 18, 2005
- Reactivated
- May 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1326 | NE | |
| Chiropractor | 111N00000X | CR1358 | ME | Primary |
Addresses
Primary practice location
416 Sabattus St
Lewiston, ME 04240-5430
Mailing address
416 Sabattus St
Lewiston, ME 04240-5430
Phone (207) 376-3877
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09061 | Other | NE | BC HME |
| 100 25 9818 00 | Medicaid | NE | |
| 99534 | Other | NE | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
416 Sabattus St
Lewiston, ME 04240-5430
Phone (207) 777-3333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CR1358 | ME | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chandra Sasseville DC PA | Current | Accepting new patients |
Locations
416 Sabattus St
Lewiston, ME 04240
Phone (207) 460-9610
513 Sabattus St
Lewiston, ME 04240
Phone (207) 777-3333
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.
-
- Health Service Clinic/Center
- Lewiston, ME
- NPI 1588826036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1609875012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 SABATTUS ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042405430",
"telephone_number": "207-376-3877",
"fax_number": "207-786-8921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 SABATTUS ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042405430",
"telephone_number": "207-777-3333",
"fax_number": "207-786-8921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRATMAN",
"first_name": "TED",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"deactivation_date": "2006-03-20",
"reactivation_date": "2006-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1326",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ME",
"license": "CR1358",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC HME",
"identifier": "09061",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100 25 9818 00",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "99534",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.