Carolyn Anne Wilson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT4846 Issued in ME

Practice address

119 Gannett Dr
South Portland, ME 04106-6942

Phone

(207) 773-0040

Fax

(207) 661-4630

NPI assigned

Jul 16, 2025

Last updated

Oct 28, 2025By the provider in NPPES

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, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hand Therapy Treatment and Education Center, L3CGroup PAC ID 5395129555, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hand Therapy Treatment and Education Center L3C

  • Occupational Therapist
  • Brunswick, ME
  • NPI 1902539109
  Medicare reassignment Care Compare group NPD
• Mainehealth

  dba Mainehealth Behavioral Health

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment NPD
• Mainehealth

  dba MaineHealth Pharmacy Brighton Ave

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  dba Maine Medical Partners Neurology

  • Neurology Physician
  • Scarborough, ME
  • NPI 1497052518
  NPD
• Mainehealth

  dba MaineHealth Medical Group-Primary Care

  • Clinic/Center
  • Portland, ME
  • NPI 1487346722
  NPD (past)

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1174415061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 GANNETT DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066942",
            "telephone_number": "207-773-0040",
            "fax_number": "207-661-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 GANNETT DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066942",
            "telephone_number": "207-773-0040",
            "fax_number": "207-661-4630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "584 Roosevelt Trl Unit 2",
            "address_purpose": "LOCATION",
            "city": "Windham",
            "state": "ME",
            "postal_code": "040624983",
            "country_code": "US",
            "telephone_number": "207-661-2828",
            "fax_number": "207-661-2854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 Maine St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112029",
            "country_code": "US",
            "telephone_number": "207-607-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CAROLYN",
        "middle_name": "ANNE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT4846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Williams
• Jaime Lynn Williams, LCSW
• Lauren M. Williams, PA
• Malcolm Roderick Williams, D.C.
• Mark S Williams, DC
• Emery James Wilson, ADCA
• Joel A. Wirth, M.D.
• Within Reach LLC
• Emily V Wood, MD
• Kelleryn V Wood, F.N.P.

• Occupational Therapist in South Portland, ME
• Providers in South Portland, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.