Active NPI
Timothy L Cyr, OT
- Occupational Therapist
- Fort Kent, ME
National Provider Identifier
1043226566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT276
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134990099 | Medicaid | ME | |
| 035295 | Other | ME | ANTHEM 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
| License | State | Type | Specialty |
|---|---|---|---|
| OT276 | ME | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Specialist
- Caribou, ME
- NPI 1154342061
-
- Local Education Agency (LEA)
- Fort Kent, ME
- NPI 1124231923
-
- Student in an Organized Health Care Education/Training Program
- Fort Kent, ME
- NPI 1578785846
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.