Active NPI
Nathan Caruso, PT
- Physical Therapist
- Lewiston, ME
National Provider Identifier
1780350371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6029
- Practice address
- 4 Gendron Dr Unit 5
Lewiston, ME 04240-1044 - Phone
- (207) 992-4000
- Fax
- (207) 558-3285
- NPI assigned
- Aug 23, 2021
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5078 | NH | |
| Physical Therapist | 225100000X | PT6029 | ME | Primary |
Addresses
Primary practice location
4 Gendron Dr Unit 5
Lewiston, ME 04240-1044
Mailing address
PO Box 6
Stillwater, ME 04489-0006
Phone (207) 992-4000
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 |
|---|---|---|---|
| PT6029 | ME | MD | Physical Therapist |
| 5078 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1780350371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6",
"city": "STILLWATER",
"state": "ME",
"postal_code": "044890006",
"telephone_number": "207-992-4000",
"fax_number": "207-558-3285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 GENDRON DR UNIT 5",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042401044",
"telephone_number": "207-992-4000",
"fax_number": "207-558-3285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARUSO",
"first_name": "NATHAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-23",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "5078",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT6029",
"primary": true
}
],
"identifiers": [],
"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 Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.