Active NPI
Maria Robin Libby, OTR/L
- Occupational Therapist
- Scarborough, ME
National Provider Identifier
1154957793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3765
- Practice address
- 144 US-1 #4
Scarborough, ME 04074 - Phone
- (207) 219-8300
- NPI assigned
- Mar 16, 2020
- Sex
- Female
- Sole proprietor
- No
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 | OT3765 | ME | Primary |
Addresses
Primary practice location
144 US-1 #4
Scarborough, ME 04074
Mailing address
70 D St Apt 2
South Portland, ME 04106-2810
Phone (207) 664-8558
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.sndc.info |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT3765 | ME | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1154957793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 D ST APT 2",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062810",
"telephone_number": "207-664-8558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 US-1 #4",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "04074",
"telephone_number": "207-219-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBBY",
"first_name": "MARIA",
"middle_name": "ROBIN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-16",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT3765",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.sndc.info",
"affiliation": "N",
"endpointDescription": "Scarborough NeuroDevelopment Center, LLC",
"address_1": "144 US-1 #4",
"city": "Scarborough",
"state": "ME",
"country_code": "US",
"postal_code": "04074",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.