Abigail Jernigan Pediatric OT LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT1529 Issued in ME

Legal business name

ABIGAIL JERNIGAN PEDIATRIC OT LLC

Practice address

1 Old Meadow LN
Orono, ME 04473-4243

Phone

(207) 838-9628

NPI assigned

Apr 30, 2018

Last updated

Apr 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abigail Jernigan, OTR/LNPI 1922446996

Title

Owner

Phone

(207) 838-9628

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abigail Jernigan, OTR/L

  • Occupational Therapist
  • Orono, ME
  • NPI 1922446996
  NPD (past) Authorized official

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1013405661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLD MEADOW LN",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044734243",
            "telephone_number": "207-838-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OLD MEADOW LN",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044734243",
            "telephone_number": "207-838-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIGAIL JERNIGAN PEDIATRIC OT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-838-9628",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT1529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 117 Bennoch Road Opco, LLC
• 117 Bennoch Road Opco, LLC (Orono Commons Post Acute)
• Amy T Adamo, MED, ATC, CSCS
• Marybeth Stout Allen, MS CCCSLP
• Laura Durham Anderson, LCSW
• Applied Behavior and Learning Consulting, LLC
• Stephen TG Arsenault, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.