Matthew Dunning
Individual provider Active NPI Physical Therapist · Sanford, ME
NPI 1982251567 · NPPES record last updated Jul 5, 2024
Key facts
- NPI
- 1982251567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT5454 (ME)
- Practice address
- 1364 Main St Ste 6
Sanford, ME 04073-3648 - Phone
- (207) 881-5014
- Fax
- (866) 291-8520
- NPI assigned
- Aug 20, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgton Hospital | Current |
Accepting new patients | |
| Bridgton Hospital | Current |
Accepting new patients |
Locations
15 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-3421
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT5454 | ME | |
| Physical Therapist | 225100000X | PT5454 | ME | Yes |
Addresses
Primary practice location
1364 Main St Ste 6
Sanford, ME 04073-3648
Mailing address
11808 Grant St FL 100
Omaha, NE 68164-3616
Phone (877) 230-3885
Other practice location 1
278 State St
Brewer, ME 04412-1519
Phone (207) 922-4900
Other practice location 2
57 Fairview Ave
Skowhegan, ME 04976-1414
Phone (207) 474-7000
Other providers in Sanford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.