Individual provider Active NPI

Tatjana Cvjetinovic Mahon

  • Physical Rehabilitation Occupational Therapist
  • Auburn, ME
National Provider Identifier
1104429315
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
4430 Issued in ME
Practice address
730 Center St Ste 9
Auburn, ME 04210-6316
Phone
(207) 783-3450
NPI assigned
Nov 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 5561 CT
Physical Rehabilitation Occupational Therapist 225XP0019X 4430 ME Primary

Addresses

Primary practice location

730 Center St Ste 9
Auburn, ME 04210-6316

Mailing address

92 Granite St Unit 1
Biddeford, ME 04005-3660
Phone (203) 228-1328

Other practice location 1

382 S Main St
Cheshire, CT 06410-1379
Phone (203) 250-9663

Other practice location 2

308 Racebrook Road
Orange, CT 06477-9976
Phone (203) 920-1885

Other practice location 3

1064 E Main St Fl 3
Meriden, CT 06450-4898
Phone (203) 250-9663

Other names 1

  • Tatjana Cvjetinovic Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251219001764 ME Practitioner - Occupational Therapist in Private Practice 9335634013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saco Bay Orthopaedic and Sports Physical Therapy IncGroup PAC ID 9537069265, 137 clinicians

Practice addresses (Care Compare)

55 Spring St
Scarborough, ME 04074-8926
Phone (207) 396-5165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4430MEMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cheshire Fitness Zone, LLC Pediatrics CurrentSince Nov 1, 2020 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Dec 1, 2025 Accepting new patients

Locations

382 S Main St
Cheshire, CT 06410

1064 E Main St
Fl 3
Meriden, CT 06450
Phone (203) 237-1818

308 Racebrook Rd
Orange, CT 06477
Phone (203) 920-1885

400 North St
#2
Saco, ME 04072
Phone (207) 282-7121

55 Spring St
Scarborough, ME 04074
Phone (207) 396-7337

Organizations & group practices 4

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": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1104429315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 GRANITE ST UNIT 1",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053660",
            "telephone_number": "203-228-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 CENTER ST STE 9",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106316",
            "telephone_number": "207-783-3450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "382 S Main St",
            "address_purpose": "LOCATION",
            "city": "Cheshire",
            "state": "CT",
            "postal_code": "064101379",
            "country_code": "US",
            "telephone_number": "203-250-9663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 Racebrook Road",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CT",
            "postal_code": "064779976",
            "country_code": "US",
            "telephone_number": "203-920-1885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1064 E Main St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Meriden",
            "state": "CT",
            "postal_code": "064504898",
            "country_code": "US",
            "telephone_number": "203-250-9663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHON",
        "first_name": "TATJANA",
        "middle_name": "CVJETINOVIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CT",
            "license": "5561",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "ME",
            "license": "4430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATJANA",
            "last_name": "CVJETINOVIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.