Individual provider Active NPI

Gabrielle Jandreau, MSOTR/L

  • Occupational Therapist
  • Presque Isle, ME
National Provider Identifier
1053090845
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT4500 Issued in ME
Practice address
744 Main St Ste 11
Presque Isle, ME 04769-2270
Phone
(207) 227-5855
NPI assigned
Jul 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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 OT4500 ME Primary

Addresses

Primary practice location

744 Main St Ste 11
Presque Isle, ME 04769-2270

Mailing address

744 Main St Ste 11
Presque Isle, ME 04769-2270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231019002134 ME Practitioner - Other (Non-Physician) 6103272638 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT4500MEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
City of Caribou CurrentSince Sep 4, 2023 Accepting new patients
Excel Therapy Services, P.C. Occupational Therapist Past Accepting new patients

Locations

163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320

163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227

Organizations & group practices 2

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": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1053090845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 MAIN ST STE 11",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 MAIN ST STE 11",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692270",
            "telephone_number": "207-227-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANDREAU",
        "first_name": "GABRIELLE",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT4500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

Verify at the official NPI Registry.