Individual provider Active NPI

Matthew Dunning

  • Physical Therapist
  • Sanford, ME
National Provider Identifier
1982251567
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5454 Issued in 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
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT5454MEMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgton Hospital CurrentSince Oct 12, 2022 Accepting new patients
Bridgton Hospital CurrentSince Oct 12, 2022 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.

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.

Verify at the official NPI Registry.