Individual provider Active NPI

Timothy L Cyr, OT

  • Occupational Therapist
  • Fort Kent, ME
National Provider Identifier
1043226566
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT276 Issued in ME
Practice address
108 Pleasant St
Fort Kent, ME 04743-1576
Phone
(207) 834-3481
Fax
(207) 834-7357
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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 OT276 ME Primary

Addresses

Primary practice location

108 Pleasant St
Fort Kent, ME 04743-1576

Mailing address

PO Box 386
Caribou, ME 04736-0386
Phone (207) 551-8383

Other identifiers 2

IdentifierTypeStateIssuer
134990099MedicaidME
035295OtherMEANTHEM INDIVIDUAL ID#

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
OT276MEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
M.S.a.D.#27 Past Accepting new patients
M.S.a.D.#27 Past Accepting new patients
Aroostook Occupational Therapy Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1043226566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047360386",
            "telephone_number": "207-551-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PLEASANT ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431576",
            "telephone_number": "207-834-3481",
            "fax_number": "207-834-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYR",
        "first_name": "TIMOTHY",
        "middle_name": "L",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134990099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIVIDUAL ID#",
            "identifier": "035295",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Kent, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.