Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cory Ouellette, DPT

Individual provider Physical Therapist · NPI 1871837054

Cory Ouellette, DPT is a Physical Therapist in Private Practice in Bangor, Maine. Qualified in 2012, 14 years ago. Practices with Ube Physical Therapy and Performance LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
14
Licensed in
ME
In the registry since
2012
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

1211 Broadway Ste 8
Bangor, ME 04401-2503
Phone: (207) 992-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT3965 (ME)

Record details

NPI number1871837054
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedNovember 12, 2012
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024
Mailing addressPo Box 6, Stillwater, ME 04489-0006

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ube Physical Therapy And Performance Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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