Veronica Wallace-Ewing

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3720 Issued in ME

Practice address

36 Workman Ter
Lincoln, ME 04457-1162

Phone

(207) 794-6025

NPI assigned

Nov 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Magnolia Outpatient Physical Therapy Services, LLC

  • Occupational Therapist
  • Belfast, ME
  • NPI 1851083919
  Medicare reassignment NPD

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1104462639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HUSSON AVE APT R6",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013241",
            "telephone_number": "207-402-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WORKMAN TER",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044571162",
            "telephone_number": "207-794-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE-EWING",
        "first_name": "VERONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT3720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Turning Point Mental Health Professionals LLC
• Gabriel Patrick Valley, DMD
• Alfred H. Vandine Jr., LCPC-C
• Wal-Mart Stores East LP
• Walgreen Eastern Co Inc
• Mark B Weatherbee, OD
• Tammy Sue Webb, P.A.
• Kimberly WS Welikadage, OTR/L
• Myra M Whorton, CRNA
• Emily Davis Wilson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.