Individual provider Active NPI

Pamela Taker, PT, DPT

  • Physical Therapist
  • Brunswick, ME
National Provider Identifier
1780036061
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4470 Issued in ME
Practice address
142 Neptune Dr
Brunswick, ME 04011-2882
Phone
(207) 406-4345
Fax
(207) 406-2681
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4470 ME Primary

Addresses

Primary practice location

142 Neptune Dr
Brunswick, ME 04011-2882

Mailing address

73 Newton Rd Unit 101
Plaistow, NH 03865-2440
Phone (978) 388-7272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161017000465 ME Practitioner - Physical Therapist in Private Practice 7911295472 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reform Physical Therapy, Inc Physical Therapist CurrentSince May 17, 2022 Accepting new patients
Head to Toe Physical Therapy Physical Therapist CurrentSince Aug 16, 2016 Accepting new patients
Rivertree Osteopathic Health PC Past Accepting new patients

Locations

190 Pleasant St
Brunswick, ME 04011

23 Durham Rd
Ste 101
Freeport, ME 04032
Phone (207) 725-4400

1977 Lisbon Rd
Lewiston, ME 04240
Phone (207) 784-3400

439 Lewiston Rd
Topsham, ME 04086
Phone (207) 725-4400

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.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1780036061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NEWTON RD UNIT 101",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652440",
            "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": "142 NEPTUNE DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112882",
            "telephone_number": "207-406-4345",
            "fax_number": "207-406-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKER",
        "first_name": "PAMELA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.