Mary Anne O. Moisan

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT544 Issued in ME

Practice address

24 Falcon Dr
Auburn, ME 04210-4384

Phone

(207) 782-5437

NPI assigned

Nov 17, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1013161108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 NOTCHED POND RD",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "040716028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FALCON DR",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042104384",
            "telephone_number": "207-782-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOISAN",
        "first_name": "MARY ANNE",
        "middle_name": "O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiomthy Miller, LMSW-CC
• Kathleen Ann Mitchell, LMSW-CC
• Matthew Parent Mitchell, PA
• John David Mlcuch, LCPC, LMHC
• Saad Mohammad, DO
• Donielle F Montague
• Sherry Monteith, LCPC-C
• Wayne A. Moody, M.D.
• Lisa M Moore, PA-C
• Megan Moore

• Occupational Therapist in Auburn, ME
• Providers in Auburn, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.