Stephanie Thibault

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2642 Issued in ME

Practice address

1372 Newbury Neck Rd
Surry, ME 04684-3819

Phone

(207) 356-8211

NPI assigned

Sep 5, 2013

Sex

Female

Sole proprietor

No

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.

• Elizabeth G. Dyer & Associates, LLC

  • Speech-Language Pathologist
  • Surry, ME
  • NPI 1780767905
  NPD (past)
• Therapeutic Learning Center, Inc.

  • Speech-Language Pathologist
  • Milford, ME
  • NPI 1518333624
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 5, 2013.

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1124453519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 NEWBURY NECK RD",
            "city": "SURRY",
            "state": "ME",
            "postal_code": "046843819",
            "telephone_number": "207-356-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 NEWBURY NECK RD",
            "city": "SURRY",
            "state": "ME",
            "postal_code": "046843819",
            "telephone_number": "207-356-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBAULT",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT2642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Shay, BCBA AND SLP/A
• Sarah Josephson Shorette, M.A., CFY-SLP
• Surry Elementary School
• Surry Manor, LLC
• Robert D Tallent, RPH
• Ashley Elizabeth Thornton, SLP-A
• Erin Valentine
• Cathryne Valentine Van Dolman, DT
• Autumn Westhoven, SLP/A

• All providers in Surry, ME
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.