Active NPI
Matthew Dunning
- Physical Therapist
- Sanford, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5454
- Practice address
- 1364 Main St Ste 6
Sanford, ME 04073-3648 - Phone
- (207) 881-5014
- Fax
- (866) 291-8520
- NPI assigned
- Aug 20, 2019
- Last updated
- Jul 5, 2024
- 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 Medicine & Rehabilitation Physician | 208100000X | PT5454 | ME | |
| Physical Therapist | 225100000X | PT5454 | ME | Primary |
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
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 |
|---|---|---|---|
| PT5454 | ME | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgton Hospital | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients |
Locations
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
15 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-3421
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Bridgton, ME
- NPI 1154370153
-
dba Bridgton Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Bridgton, ME
- NPI 1477691467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1982251567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11808 GRANT ST FL 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681643616",
"telephone_number": "877-230-3885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1364 MAIN ST STE 6",
"city": "SANFORD",
"state": "ME",
"postal_code": "040733648",
"telephone_number": "207-881-5014",
"fax_number": "866-291-8520"
}
],
"practiceLocations": [
{
"address_1": "278 State St",
"address_purpose": "LOCATION",
"city": "Brewer",
"state": "ME",
"postal_code": "044121519",
"country_code": "US",
"telephone_number": "207-922-4900",
"fax_number": "207-922-4901",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "57 Fairview Ave",
"address_purpose": "LOCATION",
"city": "Skowhegan",
"state": "ME",
"postal_code": "049761414",
"country_code": "US",
"telephone_number": "207-474-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNNING",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-20",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "ME",
"license": "PT5454",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT5454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.