Individual provider Active NPI

Shelley J Pine, O.T.

  • Occupational Therapist
  • Portland, ME
National Provider Identifier
1053436592
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT4487 Issued in ME
Practice address
33 Sewall St
Portland, ME 04102-2638
Phone
(207) 828-2100
Fax
(207) 553-7166
NPI assigned
Mar 21, 2007
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 970184 CO
Occupational Therapist 225X00000X OT4487 ME Primary

Addresses

Primary practice location

33 Sewall St
Portland, ME 04102-2638

Mailing address

33 Sewall St
Portland, ME 04102-2638
Phone (207) 828-2100

Other practice location 1

14 Thomas Point Rd
Brunswick, ME 04011-3911
Phone (207) 828-2100

Other practice location 2

22 Station Ave Ste 201
Brunswick, ME 04011-2092
Phone (207) 828-2100

Other practice location 3

2490 W 26th Ave
Suite A-299
Denver, CO 80211-5314
Phone (615) 778-4066

Other practice location 4

4 Commons Ave Ste A
Windham, ME 04062-5554
Phone (207) 828-2100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231018001645 ME Practitioner - Occupational Therapist in Private Practice 7416302948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

33 Sewall St
Portland, ME 04102-2603
Phone (207) 828-2101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
970184COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Healthcare Partners, PA CurrentSince Nov 6, 2023 Accepting new patients
Orthopaedic Associates of Maine PA CurrentSince Nov 12, 2024 Accepting new patients
Spectrum Healthcare Partners, P.a. CurrentSince Nov 6, 2023 Accepting new patients
Orthopaedic Associates of Maine PA CurrentSince Nov 12, 2024 Accepting new patients
Spectrum Healthcare Partners, PA Past Accepting new patients

Locations

33 Sewall St
Portland, ME 04102
Phone (207) 772-0076

324 Gannett Dr
Ste 200
South Portland, ME 04106
Phone (207) 482-7861

4 Commons Ave
Ste A
Windham, ME 04062
Phone (207) 893-1738

Organizations & group practices 5

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1053436592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022638",
            "telephone_number": "207-828-2100",
            "fax_number": "207-553-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022638",
            "telephone_number": "207-828-2100",
            "fax_number": "207-553-7166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Thomas Point Rd",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040113911",
            "country_code": "US",
            "telephone_number": "207-828-2100",
            "fax_number": "207-553-7166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Station Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112092",
            "country_code": "US",
            "telephone_number": "207-828-2100",
            "fax_number": "207-553-7166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2490 W 26th Ave",
            "address_2": "Suite A-299",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802115314",
            "country_code": "US",
            "telephone_number": "615-778-4066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Commons Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Windham",
            "state": "ME",
            "postal_code": "040625554",
            "country_code": "US",
            "telephone_number": "207-828-2100",
            "fax_number": "207-553-7166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINE",
        "first_name": "SHELLEY",
        "middle_name": "J",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "970184",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT4487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.