Active NPI
Ashley Elizabeth Jenkins
- Occupational Therapist
- Augusta, ME
National Provider Identifier
1134811599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- TO4460
- Practice address
- 12 Shuman Ave Ste 16
Augusta, ME 04330-6020 - Phone
- (207) 623-3900
- Fax
- (207) 480-1541
- NPI assigned
- May 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | TO4460 | ME | Primary |
Addresses
Primary practice location
12 Shuman Ave Ste 16
Augusta, ME 04330-6020
Mailing address
842 Main St
Wayne, ME 04284-3163
Phone (706) 761-2179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260214000385 | ME | Practitioner - Occupational Therapist in Private Practice | 8022598481 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
200 W Martin Luther King Blvd
Suite 1000
Chattanooga, TN 37402-2571
PO Box
Lewiston, ME 04243
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TO4460 | ME | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Gallant Therapy Services | Occupational Therapist | Current | Accepting new patients |
Locations
12 Shuman Ave
Ste 16
Augusta, ME 04330
Phone (207) 623-3900
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
- Developmentally Disabled Services Day Training Agency
- Augusta, ME
- NPI 1124253760
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1134811599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "842 MAIN ST",
"city": "WAYNE",
"state": "ME",
"postal_code": "042843163",
"telephone_number": "706-761-2179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 SHUMAN AVE STE 16",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043306020",
"telephone_number": "207-623-3900",
"fax_number": "207-480-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "ASHLEY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-24",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "TO4460",
"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 May 24, 2023; 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.