Amber Clukey

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

TO4188 Issued in ME

Practice address

587 N Deer Isle Rd
Deer Isle, ME 04627-3438

Phone

(855) 390-7774

Fax

(855) 734-4666

NPI assigned

Oct 25, 2021

Last updated

Oct 25, 2021By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1194489377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STILES RD STE 203",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030794804",
            "telephone_number": "855-390-7774",
            "fax_number": "855-734-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 N DEER ISLE RD",
            "city": "DEER ISLE",
            "state": "ME",
            "postal_code": "046273438",
            "telephone_number": "855-390-7774",
            "fax_number": "855-734-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUKEY",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "TO4188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME STATE OTR/L LICENSE",
            "identifier": "TO4188",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryanne Erica Bisbee, OT
• Theresa Ann Bubar, COTA/L
• Coastline Physical Therapy & Performance Inc
• Lisa M. Deweese, OTR
• Holly Dill, MA OTR/L
• Elizabeth Anne Duncombe, LCSW
• Ruth Helen Eaton

• Occupational Therapist in Deer Isle, ME
• Providers in Deer Isle, 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 25, 2021; 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.