Jane Bamford, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

TA2193 Issued in ME

Practice address

28 Gilman Plaza
C/O Watch Me Shine, Inc.
Bangor, ME 04401

Phone

(207) 990-0162

Fax

(207) 990-0163

NPI assigned

Jul 21, 2008

Sex

Female

Sole proprietor

Yes

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

Practice roles

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

• Watch Me Shine, Inc.

  • Early Intervention Provider Agency
  • Bangor, ME
  • NPI 1811124662
  NPD (past)

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1023273992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GILMAN PLAZA",
            "address_2": "C/O WATCH ME SHINE, INC.",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-990-0162",
            "fax_number": "207-990-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 GILMAN PLAZA",
            "address_2": "C/O WATCH ME SHINE, INC.",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-990-0162",
            "fax_number": "207-990-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMFORD",
        "first_name": "JANE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ME",
            "license": "TA2193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela J Baker, LMSW-CC
• James G Baldwin, D.O.
• Charles Ball, LCPC
• Loren Y Ballestas, DO
• Benjamin R. Bamford, MD
• Katherine Bandstra
• Bangor Area Homeless Shelter
• Bangor Audiology PC
• Bangor Braces PC
• Bangor Denture

• All providers in Bangor, ME
• Occupational Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.