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

Jacob David Gregoire

Individual provider Physical Therapist · NPI 1356181291

Jacob David Gregoire is a Physical Therapist in Private Practice in Gorham, Maine. Qualified in 2024, 2 years ago. Practices with Pinnacle Rehabilitation Network LLC, a 105-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
2
Licensed in
ME
In the registry since
2024
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Practice location Address checks out

14 Vista Dr Ste 100
Gorham, ME 04038-5883
Phone: (207) 222-8055
Fax: (207) 222-8053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT6809 (ME)

Record details

NPI number1356181291
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 29, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address73 Newton Rd Unit 101, Plaistow, NH 03865-2440

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Pinnacle Rehabilitation Network Llc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gorham