NICOLE ROSE CONSTANTINEAU (DPT) – Physical Therapist, NPI 1194439786

NICOLE ROSE CONSTANTINEAU (DPT) is a healthcare provider. based in Portland, Maine. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT6418 (ME). The NPI Number for NICOLE ROSE CONSTANTINEAU (DPT) is 1194439786

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE ROSE CONSTANTINEAU (DPT)
NPI
1194439786
Phone
(207) 699-4111
Address
1041 Brighton Ave
Enumeration Date
9 January 2023
Last Update Date
9 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078395860
Graduation Year
2022 (4 years ago)
PAC ID
0042681421
Group Practice PAC ID
7416926704
Professional Enrollment ID
I20230123000808
Address ID
ME040381340GO94XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

628 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ME

Provider Addresses for NICOLE ROSE CONSTANTINEAU (DPT)

  • 1041 Brighton Ave

    Portland, ME 041021042

    Phone: (207) 699-4111

    Type: Location

  • 625 KENMOOR AVE SE STE 100

    GRAND RAPIDS, MI 495462395

    Phone:

    Type: Mailing

  • 94 MAIN ST UNIT 2

    GORHAM, ME 040381340

    Phone: (207) 839-5860

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230123000808IPhysical Therapist In Private PracticeMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes80764$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes40645$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes35357$0
97530Therapy procedure using functional activities5014$0
97535Training for self-care or home management, each 15 minutes4815$0
View full utilization report →

Insurance plans in this area (ZIP 04102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416926704View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME

Reviews

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Frequently asked questions

How is NICOLE ROSE CONSTANTINEAU (DPT) identified in CMS data?
CMS-hosted NPPES data lists NICOLE ROSE CONSTANTINEAU (DPT) with NPI 1194439786.
Can I rely on NICOLE ROSE CONSTANTINEAU (DPT) being an active provider?
As of the registry snapshot, NICOLE ROSE CONSTANTINEAU (DPT) is marked active.
What taxonomy line describes NICOLE ROSE CONSTANTINEAU (DPT)?
For research purposes, treat NICOLE ROSE CONSTANTINEAU (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is NICOLE ROSE CONSTANTINEAU (DPT) based?
NICOLE ROSE CONSTANTINEAU (DPT) is tied to Portland, Maine in the data we show; additional addresses may exist on the full record.
Why does NICOLE ROSE CONSTANTINEAU (DPT) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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