THOMAS RAYMOND GJELTEMA DPT
NPI 1598164527
Physical Therapist in South Portland, ME

Active since August 14, 2014Accepts Medicare Assignment
87.18/100
CMS Quality Rating
50 FODEN RD, SOUTH PORTLAND, ME 04106(207) 780-8860 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 3, 2026, Jun 4, 2025, Oct 26, 2023 (3 updates tracked since 2023).

About Thomas Raymond Gjeltema Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS RAYMOND GJELTEMA DPT (NPI 1598164527) is an individual physical therapist in South Portland, Maine, licensed in Maine (PT4264) and active in the NPI registry since August 2014. He maintains a secondary practice location in Yarmouth and is a graduate of Other (2014).

NPPES Registry Identity

NPI1598164527
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameTHOMAS RAYMOND GJELTEMACredential: DPT
Location Address50 FODEN RDSouth Portland, ME 04106-1718
Mailing Address100 Gannett Dr Ste CSouth Portland, ME 04106-5900 · (207) 347-2947
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 14, 2014
Last NPPES UpdateMarch 3, 20263 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
NPI 1598164527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in ME · PT4264
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
50 FODEN RD, South Portland, ME 04106

Secondary Practice Location 1

Location 1259 Main StYarmouth, ME 04096-6723 · Phone (207) 780-8860

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Thomas Raymond Gjeltema Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658630611
PECOS Enrollment IDI20180119000627

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.92
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
50 FODEN RD
SOUTH PORTLAND, ME 04106
Clinical Medical Laboratory
50 FODEN RD
SOUTH PORTLAND, ME 04106
Physical Therapist
50 FODEN RD
SOUTH PORTLAND, ME 04106
Physical Therapist
50 FODEN RD
SOUTH PORTLAND, ME 04106
Physical Therapist
50 FODEN RD
SOUTH PORTLAND, ME 04106
Nurse Practitioner
50 FODEN RD
SOUTH PORTLAND, ME 04106
Occupational Therapist (Pediatrics)
50 FODEN RD
SOUTH PORTLAND, ME 04106
Physical Therapist
50 FODEN RD
SOUTH PORTLAND, ME 04106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Gjeltema's NPI number?

The NPI number for Thomas Gjeltema is 1598164527. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Where is Thomas Gjeltema located?

Thomas Gjeltema practices at 50 Foden Rd, South Portland, ME 04106. The listed phone number is (207) 780-8860.

What is Thomas Gjeltema's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Thomas Gjeltema enrolled in Medicare?

Yes. Thomas Gjeltema is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Gjeltema accept?

Health plans from Anthem Blue Cross and Blue Shield list Thomas Gjeltema as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Gjeltema was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.