Jessica Ann Kaake, OCCT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3152 Issued in ME

Practice address

308 US Route 1 Ste E1
Scarborough, ME 04074

Phone

(207) 303-3030

Fax

(204) 303-3033

NPI assigned

Dec 15, 2016

Last updated

Nov 19, 2018By 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 2

Addresses

Other names 1

• Jessica Ann Stocker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Maine Orthopaedic Center, PA

  • Orthopaedic Surgery Physician
  • Portland, ME
  • NPI 1568523637
  NPD (past)
• Seacoast Hand Therapy

  • Occupational Therapist
  • South Portland, ME
  • NPI 1265751515
  NPD (past)

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1184168767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 US ROUTE 1 STE E1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747640",
            "telephone_number": "207-303-3030",
            "fax_number": "207-303-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 US ROUTE 1 STE E1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-303-3030",
            "fax_number": "204-303-3033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Sewall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "04102",
            "country_code": "US",
            "telephone_number": "207-828-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Sewall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "04102",
            "country_code": "US",
            "telephone_number": "207-828-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAAKE",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "OCCT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT3152",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "ME",
            "license": "OT3152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "STOCKER",
            "middle_name": "ANN",
            "credential": "OCCT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Alexis J Jones
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• Veena Vaidyanathan Kahn, DDS
• Elizabeth Ann Kain, DMD
• Leonard C Kaminow, MD
• Michael Raymond Kane, PT
• Peter Y. Kang, DO

• Occupational Therapist in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.