Individual provider Active NPI

Emily Queally, OT/L

  • Occupational Therapist
  • Bath, ME
National Provider Identifier
1205456266
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3258 Issued in ME
Practice address
51 Winship St
Bath, ME 04530-2843
Phone
(207) 443-9772
NPI assigned
Apr 20, 2020
Last updated
Apr 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT3258 ME Primary

Addresses

Primary practice location

51 Winship St
Bath, ME 04530-2843

Mailing address

51 Winship St
Bath, ME 04530-2843
Phone (207) 443-9772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220707001601 ME Practitioner - Occupational Therapist in Private Practice 0244610350 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Androscoggin Home Health Services, Inc. Occupational Therapist CurrentSince Dec 17, 2024 Accepting new patients
Preferred Therapy Outpatient Services of Me, LLC Occupational Therapist CurrentSince Mar 24, 2022 Accepting new patients
Preferred Therapy Outpatient Services of Me, LLC Occupational Therapist CurrentSince Mar 24, 2022 Accepting new patients
Androscoggin Home Health Services, Inc CurrentSince Dec 17, 2024 Accepting new patients
Androscoggin Home Health Services, Inc. Occupational Therapist Past Accepting new patients

Locations

850 Silas Deane Hwy
Fl 2
Wethersfield, CT 06109
Phone (860) 610-0400

165 Capitol St
Augusta, ME 04330
Phone (207) 623-1170

498 Essex St
Ste 104
Bangor, ME 04401
Phone (207) 947-0768

175 Portland Rd
Ste 4
Bridgton, ME 04009
Phone 2077777740 ext. 5225

30 Community Dr
Camden, ME 04843
Phone (207) 230-6100

1073 W Main St
Dover Foxcroft, ME 04426
Phone (207) 564-0200

176 Livermore Falls Rd
Farmington, ME 04938
Phone 2077777740 ext. 3208

710 Main St
#1
Lewiston, ME 04240
Phone (207) 741-1345

72 Strawberry Ave
Lewiston, ME 04240
Phone (207) 782-2150

15 Strawberry Ave
Lewiston, ME 04240
Phone (207) 520-9329

39 Main St
Ste 3
Norway, ME 04268
Phone 2077777740 ext. 6202

181 Academy St
Ste 6
Presque Isle, ME 04769
Phone (207) 741-1050

180 Main St
Waterville, ME 04901
Phone (207) 458-3759

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1205456266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WINSHIP ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302843",
            "telephone_number": "207-443-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WINSHIP ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302843",
            "telephone_number": "207-443-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEALLY",
        "first_name": "EMILY",
        "credential": "OT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT3258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.