Unknown Individual – Neurology Physical Therapist, NPI 1245355262

Unknown Individual is a healthcare provider. based in Auburn, Maine. specializing in Neurology Physical Therapist. They hold a License No. PT2297 (ME). The NPI Number for Unknown Individual is 1245355262

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1245355262
Phone
Not provided
Address
182 FAIRVIEW AVE
Deactivation Date
18 December 2020

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2077815540
Graduation Year
1990 (36 years ago)
PAC ID
2062758956
Group Practice PAC ID
4587765367
Professional Enrollment ID
I20190115000118
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 182 FAIRVIEW AVE

    AUBURN, ME 042104392

    Phone:

    Type: Mailing

  • 102 CAMPUS AVE

    LEWISTON, ME 042406019

    Phone: (207) 777-4200

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04210)

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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: 4587765367View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1245355262.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Neurology Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Auburn, Maine. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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