Alice L Vanderwerken, OT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OT74 Issued in ME

Practice address

128 Middle St
Farmington, ME 04938-6937

Phone

(207) 778-6469

Fax

(207) 778-3486

NPI assigned

Jul 28, 2017

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

Specialty

Occupational Therapist in Private Practice

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elevation Physical TherapyGroup PAC ID 5597179762, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Elevation Physical Therapy

  • Physical Therapist
  • Farmington, ME
  • NPI 1962011387
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124542428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MIDDLE ST",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386937",
            "telephone_number": "207-778-6469",
            "fax_number": "207-778-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MIDDLE ST",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386937",
            "telephone_number": "207-778-6469",
            "fax_number": "207-778-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERWERKEN",
        "first_name": "ALICE",
        "middle_name": "L",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "ME",
            "license": "OT74",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carole Walker Trickett, MSW
• Troy a Norton OD, Inc.
• University of Maine at Farmington
• University of Maine System
• Valley Pharmacy, Inc Dba Farmington Medical Supplies and Services
• Lisa Claire Vargas
• Amy Vincent, R.D.H.
• Renee Violette, APRN-CNP
• Anne L Viselli, MD
• Mary Voelker, DO

• Hand Occupational Therapist in Farmington, ME
• Providers in Farmington, ME by specialty
• Hand Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.