Individual provider Active NPI

Sydney Paige Vincent

  • Occupational Therapist
  • Oakland, ME
National Provider Identifier
1013648302
Registry record updated Jun 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
TO4294 Issued in ME
Practice address
840 Kennedy Memorial Dr
Oakland, ME 04963-4887
Phone
(207) 716-1863
Fax
(207) 716-4002
NPI assigned
Jun 18, 2022
Last updated
Jun 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X TO4294 ME Primary

Addresses

Primary practice location

840 Kennedy Memorial Dr
Oakland, ME 04963-4887

Mailing address

840 Kennedy Memorial Dr
Oakland, ME 04963-4887
Phone (207) 716-1863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TO4294MEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gallant Therapy Services Occupational Therapist PastSince Jun 26, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655510400000",
    "number": "1013648302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 KENNEDY MEMORIAL DR",
            "city": "OAKLAND",
            "state": "ME",
            "postal_code": "049634887",
            "telephone_number": "207-716-1863",
            "fax_number": "207-716-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 KENNEDY MEMORIAL DR",
            "city": "OAKLAND",
            "state": "ME",
            "postal_code": "049634887",
            "telephone_number": "207-716-1863",
            "fax_number": "207-716-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "SYDNEY",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-18",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "TO4294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2022; 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.