Individual provider Active NPI

Elizabeth Ann Brophy, OTR/L

  • Occupational Therapist
  • Augusta, ME
National Provider Identifier
1093107963
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT2990 Issued in ME
Practice address
37 Gray Birch Dr
Augusta, ME 04330-6105
Phone
(207) 621-7149
NPI assigned
Mar 2, 2015
Last updated
Sep 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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 OT2990 ME Primary

Addresses

Primary practice location

37 Gray Birch Dr
Augusta, ME 04330-6105

Mailing address

2 Davis Point LN
Unit 1a
Cape Elizabeth, ME 04107-2628
Phone (207) 767-9773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201012002135 ME Practitioner - Occupational Therapist in Private Practice 7810317963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services Me LLCGroup PAC ID 0042607681, 45 clinicians

Practice addresses (Care Compare)

Scarborough, ME 04074
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Me LLC Occupational Therapist CurrentSince Apr 1, 2022 Accepting new patients
Coastal Rehab, LLC Occupational Therapist CurrentSince Aug 10, 2020 Accepting new patients

Locations

2 Davis Point Ln
Unit 1A
Cape Elizabeth, ME 04107
Phone (207) 767-9773

254 Commercial St
Ste 245
Portland, ME 04101
Phone (207) 716-5309

600 Commerce Dr
Scarborough, ME 04074
Phone (207) 730-6781

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, 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": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1093107963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DAVIS POINT LN",
            "address_2": "UNIT 1A",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041072628",
            "telephone_number": "207-767-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 GRAY BIRCH DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306105",
            "telephone_number": "207-621-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROPHY",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT2990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.