Active NPI
River Birch Occupational Therapy
- Pediatric Occupational Therapist
- Arundel, ME
National Provider Identifier
1073747713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT304
- Legal business name
- RIVER BIRCH OCCUPATIONAL THERAPY
- Practice address
- 1236 Portland Rd
Arundel, ME 04046-8104 - Phone
- (207) 468-1293
- NPI assigned
- May 10, 2009
- Last updated
- May 10, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lorie B Wyman, OTR/L
- Title
- Occupational Therapist
- Phone
- (207) 468-1293
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT304 | ME | Primary |
Addresses
Primary practice location
1236 Portland Rd
Arundel, ME 04046-8104
Mailing address
1236 Portland Rd
Arundel, ME 04046-8104
Phone (207) 468-1293
National Provider Directory
National Provider DirectoryLocations
1236 Portland Rd
Arundel, ME 04046
Phone (207) 468-1293
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241913600000",
"number": "1073747713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 PORTLAND RD",
"city": "ARUNDEL",
"state": "ME",
"postal_code": "040468104",
"telephone_number": "207-468-1293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1236 PORTLAND RD",
"city": "ARUNDEL",
"state": "ME",
"postal_code": "040468104",
"telephone_number": "207-468-1293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER BIRCH OCCUPATIONAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-10",
"last_updated": "2009-05-10",
"status": "A",
"authorized_official_last_name": "WYMAN",
"authorized_official_first_name": "LORIE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "207-468-1293",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "ME",
"license": "OT304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arundel, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.