Individual provider Active NPI

Ariana Elizabeth Russo, OT

  • Occupational Therapist
  • Bath, ME
National Provider Identifier
1013664127
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT4232 Issued in ME
Practice address
97 Commercial St Ste 2
Bath, ME 04530-2563
Phone
(207) 443-8912
NPI assigned
Mar 8, 2022
Last updated
Nov 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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 OT4232 ME Primary

Addresses

Primary practice location

97 Commercial St Ste 2
Bath, ME 04530-2563

Mailing address

6 Winding River LN
Falmouth, ME 04105-1879

Other practice location 1

92 Campus Dr Ste B
Scarborough, ME 04074-7229
Phone (207) 662-5143

Other practice location 2

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-0111

Other practice location 3

4 Shape Dr
Kennebunk, ME 04043-6760
Phone (207) 662-5143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251022004053 ME Practitioner - Occupational Therapist in Private Practice 5193213098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Riverfront PLZ
Westbrook, ME 04092-9700

PO Box
Pittsburgh, PA 15251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT4232MEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Sep 15, 2025 Accepting new patients
Mainehealth CurrentSince Sep 15, 2025 Accepting new patients
Mainehealth Current Accepting new patients

Locations

4 Shape Dr
Kennebunk, ME 04043
Phone (207) 467-8988

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

92 Campus Dr
Ste B
Scarborough, ME 04074
Phone (207) 662-5143

Organizations & group practices 3

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": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761955200000",
    "number": "1013664127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WINDING RIVER LN",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 COMMERCIAL ST STE 2",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302563",
            "telephone_number": "207-443-8912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 Campus Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747229",
            "country_code": "US",
            "telephone_number": "207-662-5143",
            "fax_number": "207-661-8104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Shape Dr",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040436760",
            "country_code": "US",
            "telephone_number": "207-662-5143",
            "fax_number": "207-661-8104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "ARIANA",
        "middle_name": "ELIZABETH",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT4232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.