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

Individual provider Physical Therapist · NPI 1194439786

Nicole Rose Constantineau, DPT is a Physical Therapist in Private Practice in Gorham, Maine. Qualified in 2022, 4 years ago. Practices with Back in Motion Physical Therapy LLC, a 64-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
4
Licensed in
ME
In the registry since
2023
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

94 Main St Unit 2
Gorham, ME 04038-1340
Phone: (207) 839-5860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1041 Brighton Ave, Portland, ME 04102-1042 — (207) 699-4111

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT6418 (ME)

Record details

NPI number1194439786
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 9, 2023
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 9, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Back In Motion Physical Therapy Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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