Active NPI
Robert Craig
- Occupational Therapy Assistant
- Yarmouth, ME
National Provider Identifier
1144488339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- #OA1422
- Practice address
- 370 Portland St
Yarmouth, ME 04096-8101 - Phone
- (207) 846-9021
- NPI assigned
- May 25, 2008
- Sex
- Male
- 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 Therapy Assistant | 224Z00000X | #OA1422 | ME | Primary |
Addresses
Primary practice location
370 Portland St
Yarmouth, ME 04096-8101
Mailing address
27 Lafayette St
Apt. 2
Yarmouth, ME 04096-6781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #OA1422 | ME | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211673600000",
"number": "1144488339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 LAFAYETTE ST",
"address_2": "APT. 2",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "040966781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 PORTLAND ST",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "040968101",
"telephone_number": "207-846-9021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-25",
"last_updated": "2008-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "ME",
"license": "#OA1422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yarmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.