NPIMap

Individual provider Active NPI

Judith Yeaton, M.S., O.T./L.

  • Pediatric Occupational Therapist
  • Rockland, ME
National Provider Identifier
1053680652
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT52 Issued in ME
Practice address
91 Camden St
Suite 108
Rockland, ME 04841-2455
Phone
(207) 594-5933
NPI assigned
Dec 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT52 ME Primary

Addresses

Primary practice location

91 Camden St
Suite 108
Rockland, ME 04841-2455

Mailing address

91 Camden St
Suite 108
Rockland, ME 04841-2455
Phone (207) 594-5933

Other names 1

  • Judy Yeaton Other name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT52MEMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Child Development Services Past Accepting new patients

Organizations & group practices 1

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": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1053680652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CAMDEN ST",
            "address_2": "SUITE 108",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412455",
            "telephone_number": "207-594-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CAMDEN ST",
            "address_2": "SUITE 108",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412455",
            "telephone_number": "207-594-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEATON",
        "first_name": "JUDITH",
        "credential": "M.S., O.T./L.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ME",
            "license": "OT52",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "YEATON",
            "credential": "M.S., O.T./L.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.