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

Nicholas Tyler Whittaker, DPT

Individual provider Physical Therapist · NPI 1609480847

Nicholas Tyler Whittaker, DPT is a Physical Therapist in Private Practice in South Portland, Maine. Qualified in 2020, 6 years ago. Practices with Saco Bay Orthopaedic and Sports Physical Therapy Inc, a 138-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
6
Licensed in
ME
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

200 John Roberts Rd
South Portland, ME 04106-3366
Phone: (207) 831-1956
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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 PT5750 (ME)

Record details

NPI number1609480847
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedSeptember 4, 2020
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 30, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Saco Bay Orthopaedic And Sports Physical Therapy Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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