Mary E Anderson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT576 Issued in ME

Practice address

86 Durgintown Rd
Hiram, ME 04041-3615

Phone

(207) 625-5500

NPI assigned

Jul 3, 2006

Last updated

Oct 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Massabesic Health Resources PA

  • Physical Therapist
  • Waterboro, ME
  • NPI 1316983257
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1083644611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 DURGINTOWN RD",
            "city": "HIRAM",
            "state": "ME",
            "postal_code": "040413615",
            "telephone_number": "207-625-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 DURGINTOWN RD",
            "city": "HIRAM",
            "state": "ME",
            "postal_code": "040413615",
            "telephone_number": "207-625-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "100343",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135630000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet L Behnke, LCSW
• Joseph Rodman Drake Dekay, D.O.
• Francesca M Demaio, LCSW
• Barbara Jane Desousa
• Charles Edward Dietzel Jr.

• Occupational Therapist in Hiram, ME
• Providers in Hiram, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.