E. Kelton Cullenberg (NPI# 1316469125, PAC ID# 0648541706) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1316469125 |
| PAC ID by PECOS | 0648541706 |
| Professional Enrollment ID | I20170808000991 |
| Full Name | E. Kelton Cullenberg |
| Organization Legal Name | MOUNTAIN CENTER PHYSICAL THERAPY AND SPORTS REHAB INC. |
| Address |
568 Main St Fryeburg ME 04037-1146 |
| Phone Number | 2079357770 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8123099223 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 37 Main St, Conway, NH 03818-6166 | 6034472533 | MOUNTAIN CENTER PHYSICAL THERAPY AND SPORTS REHAB INC. |
| 568 Main St, Fryeburg, ME 04037-1146 | 2079357770 | MOUNTAIN CENTER PHYSICAL THERAPY AND SPORTS REHAB INC. |
| 15 Us Route 302, Suite 2, Glen, NH 03838-6300 | 6033837009 | MOUNTAIN CENTER PHYSICAL THERAPY AND SPORTS REHAB INC. |
| Organization Legal Name | MOUNTAIN CENTER PHYSICAL THERAPY AND SPORTS REHAB INC. |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay K Mayock | Physical Therapy | Mountain Center Physical Therapy and Sports Rehab Inc. | 37 Main St, Conway, NH 03818-6166 |
| Marissa St. Germain | Physical Therapy | Mountain Center Physical Therapy and Sports Rehab Inc. | 37 Main St, Conway, NH 03818-6166 |
| Jeffrey Hanson | Physical Therapy | Mountain Center Physical Therapy and Sports Rehab Inc. | 37 Main St, Conway, NH 03818-6166 |
| Erin Lee Carroll | Physical Therapy | Mountain Center Physical Therapy and Sports Rehab Inc. | 37 Main St, Conway, NH 03818-6166 |
| Julie Laracy | Physical Therapy | Mountain Center Physical Therapy and Sports Rehab Inc. | 37 Main St, Conway, NH 03818-6166 |
| Betsy Donovan | Physical Therapy | Mountain Center Physical Therapy and Sports Rehab Inc. | 37 Main St, Conway, NH 03818-6166 |
| Jaclyn S Salldin | Physical Therapy | Mountain Center Physical Therapy and Sports Rehab Inc. | 37 Main St, Conway, NH 03818-6166 |
| Karen Lane | Physical Therapy | Mountain Center Physical Therapy and Sports Rehab Inc. | 37 Main St, Conway, NH 03818-6166 |
| Vickilynn Emery | Physical Therapy | Mountain Center Physical Therapy and Sports Rehab Inc. | 37 Main St, Conway, NH 03818-6166 |
| Hannah Sparks | Occupational Therapy | Mountain Center Physical Therapy and Sports Rehab Inc. | 37 Main St, Conway, NH 03818-6166 |
| Street Address |
568 MAIN ST |
| City | FRYEBURG |
| State | ME |
| Zip | 04037-1146 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meaghan J Serra | Physician Assistant | On Call Urgent Care, LLC | 568 Main St, Indian Orchard, MA 01151-1207 |
| Joseph Chisari | Chiropractic | 568 Main St, Fryeburg, ME 04037-1146 | |
| Cynthia A Cutter | Physician Assistant | On Call Urgent Care, LLC | 568 Main St, Indian Orchard, MA 01151-1207 |
| Natalee Georgantas | Physician Assistant | On Call Urgent Care, LLC | 568 Main St, Indian Orchard, MA 01151-1207 |
| Nicole C Brooker | Physical Therapy | Mountain Center Physical Therapy and Sports Rehab Inc. | 568 Main St, Fryeburg, ME 04037-1146 |
| Kjerstin A Wright | Physical Therapy | Mountain Center Physical Therapy and Sports Rehab Inc. | 568 Main St, Fryeburg, ME 04037-1146 |
| Christopher S Clark | Physician Assistant | On Call Urgent Care, LLC | 568 Main St, Indian Orchard, MA 01151-1207 |
| Laura M Mitrowski | Physician Assistant | On Call Urgent Care, LLC | 568 Main St, Indian Orchard, MA 01151-1207 |
| Michael E Stevens | Physician Assistant | On Call Urgent Care, LLC | 568 Main St, Indian Orchard, MA 01151-1207 |
| Susan T Mcdiarmid | Physician Assistant | On Call Urgent Care, LLC | 568 Main St, Indian Orchard, MA 01151-1207 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norman K Ferguson Iii | Optometry | 479 Main St, Fryeburg, ME 04037-1118 | |
| Stephanie Michelle Lee | Chiropractic | Community Chiropractic Ent Inc. | 568 Main St, Fryeburg, ME 04037-1146 |
| Keith A Buzzell | Family Practice | 44 Portland St, Fryeburg, ME 04037-1206 | |
| Lisa S Mcallister | Family Medicine | Bridgton Hospital | 253 Bridgton Rd, Fryeburg, ME 04037-1438 |
| Eric H Slayton | Family Medicine | Bridgton Hospital | 253 Bridgton Rd, Fryeburg, ME 04037-1438 |
| City | FRYEBURG |
| Zip Code | 04037 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FRYEBURG + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on E. Kelton Cullenberg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.