Active NPIIndividual provider

Prentice A Archuleta, PT, DPT

Physical Therapist in Bangor, Maine

NPI Number1144153487
Practice location
117 Broadway Ste 1, Bangor, ME 04401-5205
Fax
207-990-6604
Last updated
June 5, 2026

Prentice Amelia Archuleta is a Physical Therapist based in Bangor, ME. Prentice Amelia Archuleta practices in Bangor, ME and has the professional credentials of PT, DPT. The NPI Number for Prentice Amelia Archuleta is 1144153487 and holds a License No. PT7449 (ME). The current practice location address for Prentice Amelia Archuleta is 117 Broadway Ste 1, Bangor, ME 04401-5205 and can be reached out via phone at 207-987-5747 and via fax at 207-990-6604.

Provider Profile Details

NPI Number
1144153487
Provider Name
Prentice Amelia Archuleta
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Female
Address
117 Broadway Ste 1, Bangor, ME 04401-5205
Phone Number
207-987-5747
Fax Number
207-990-6604
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
June 5, 2026
Last Update Date
June 5, 2026
Certification Date
June 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
117 Broadway Ste 1
Bangor, ME 04401-5205
City
Bangor
State
Maine
Zip
04401-5205
Phone Number
207-987-5747
Fax Number
207-990-6604
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
City
Grand Rapids
State
MI
Zip
49546-2395

License Information

License Number
PT7449
License State
ME
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Prentice A Archuleta, PT, DPT?

The NPI number of Prentice A Archuleta, PT, DPT is 1144153487. It was assigned on June 5, 2026 and is currently active in the NPPES registry.

What is the specialty of Prentice A Archuleta, PT, DPT?

Prentice A Archuleta, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in ME under license number PT7449.

Where does Prentice A Archuleta, PT, DPT practice?

The practice location is 117 Broadway Ste 1, Bangor, ME 04401-5205. The office can be reached at 207-987-5747 (phone) or 207-990-6604 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144153487 directly on the NPPES registry website.

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