Individual provider Active NPI

Scott T Hannigan, DPT

  • Physical Therapist
  • Brunwick, ME
National Provider Identifier
1760715247
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3856 Issued in ME
Practice address
4 Leavitt Dr
Brunwick, ME 04011-5035
Phone
(207) 884-8923
NPI assigned
Sep 15, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 PT3856 ME Primary
Sports Physical Therapist 2251S0007X ME

Addresses

Primary practice location

4 Leavitt Dr
Brunwick, ME 04011-5035

Mailing address

73 Newton Rd
Ste 101
Plaistow, NH 03865-2424
Phone (978) 388-7272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170511000518 ME Practitioner - Physical Therapist in Private Practice 7214075928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

114 Bath Rd
Suite 201
Brunswick, ME 04011-2606
Phone (207) 884-8923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT3856MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Rehabilitation Network LLC Physical Therapist CurrentSince Apr 28, 2017 Accepting new patients
Pinnacle Rehabilitation Network LLC Physical Therapist CurrentSince Apr 28, 2017 Accepting new patients
Pinnacle Rehabilitation Network, LLC Physical Therapist Current Accepting new patients
Joint Ventures Physical Therapy, Inc. Physical Therapist PastSince May 16, 2019 Accepting new patients
Joint Ventures Physical Therapy, Inc. Past Accepting new patients

Locations

114 Bath Rd
#201
Brunswick, ME 04011
Phone (207) 884-8923

4 Leavitt Dr
Brunswick, ME 04011
Phone (207) 844-8923

74 Gray Rd
Falmouth, ME 04105
Phone (207) 774-3070

1 Bowdoin Mill Is
Ste 205
Topsham, ME 04086
Phone (207) 820-7638

73 Newton Rd
Unit 101
Plaistow, NH 03865
Phone (978) 388-7272

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760715247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NEWTON RD",
            "address_2": "STE 101",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652424",
            "telephone_number": "978-388-7272",
            "fax_number": "978-388-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LEAVITT DR",
            "city": "BRUNWICK",
            "state": "ME",
            "postal_code": "040115035",
            "telephone_number": "207-884-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNIGAN",
        "first_name": "SCOTT",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3856",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "ME",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunwick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.