Active NPI
Dominic Jean Roy, MOTR/L
- Occupational Therapist
- Norway, ME
National Provider Identifier
1225291255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1391
- Practice address
- 29 Marion Ave
Norway, ME 04268-5601 - Phone
- (207) 743-7075
- NPI assigned
- Jul 9, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1391 | ME | Primary |
Addresses
Primary practice location
29 Marion Ave
Norway, ME 04268-5601
Mailing address
29 Marion Ave
Norway, ME 04268-5601
Phone (207) 743-7075
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 |
|---|---|---|---|
| 1391 | ME | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1225291255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 MARION AVE",
"city": "NORWAY",
"state": "ME",
"postal_code": "042685601",
"telephone_number": "207-743-7075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 MARION AVE",
"city": "NORWAY",
"state": "ME",
"postal_code": "042685601",
"telephone_number": "207-743-7075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "DOMINIC",
"middle_name": "JEAN",
"name_prefix": "Mr.",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-09",
"last_updated": "2008-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "1391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norway, ME
- Ridesource Inc.
- Riverstones Counseling, LLC
- Tayla Kathleen Roberts, APRN-CNP
- Kathleen Root, MD
- Matthew Joseph Ross, DPT
- John Edwin Royal II, MD
- Joshua Russell
- Saco Bay Orthopaedic and Sports Physical Therapy, Inc. (Saco Bay Orthopaedic Sports & Physical Therapy)
- Saco Bay Orthopaedic and Sports Physical Therapy, Inc. (Saco Bay Orthopaedic Sports & Physical Therapy)
- Marlaina Salzberg, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.