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

Individual provider Physical Therapist · NPI 1962277947

Rurik Samual Brackett is a Physical Therapist in Private Practice in Portland, Maine. Qualified in 2023, 3 years ago. Practices with Pinnacle Rehabilitation Network LLC, a 105-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
3
Licensed in
ME
In the registry since
2023
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Practice location Address checks out

331 Veranda St Ste 401
Portland, ME 04103-5545
Phone: (207) 536-0702
Fax: (207) 536-0785
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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 PT6670 (ME)

Record details

NPI number1962277947
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 20, 2023
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Pinnacle Rehabilitation Network Llc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Portland