Active NPI
Tracy Lynn Mason, OTR/L
- Pediatric Occupational Therapist
- Kennebunk, ME
National Provider Identifier
1174838361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- #OT852
- Practice address
- 87 Fletcher St.
Maine Regional School Unit 21
Kennebunk, ME 04043 - Phone
- (207) 985-1100
- NPI assigned
- Aug 11, 2010
- Last updated
- Aug 11, 2010
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | #OT852 | ME | Primary |
Addresses
Primary practice location
87 Fletcher St.
Maine Regional School Unit 21
Kennebunk, ME 04043
Mailing address
87 Fletcher St.
Maine Regional School Unit 21
Kennebunk, ME 04043
Phone (207) 985-1100
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 |
|---|---|---|---|
| #OT852 | ME | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1174838361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 FLETCHER ST.",
"address_2": "MAINE REGIONAL SCHOOL UNIT 21",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "04043",
"telephone_number": "207-985-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 FLETCHER ST.",
"address_2": "MAINE REGIONAL SCHOOL UNIT 21",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "04043",
"telephone_number": "207-985-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "TRACY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-11",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "ME",
"license": "#OT852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennebunk, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.