Individual provider Active NPI

Carol Lynne Foster, OT/L

  • Occupational Therapist
  • Portland, ME
National Provider Identifier
1235708447
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT862 Issued in ME
Practice address
1274 Congress St FL 3
Portland, ME 04102-2111
Phone
(207) 888-0900
Fax
(207) 253-2410
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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 OT862 ME Primary

Addresses

Primary practice location

1274 Congress St FL 3
Portland, ME 04102-2111

Mailing address

1274 Congress St FL 3
Portland, ME 04102-2111
Phone (207) 888-0900

Other names 1

  • Carol L Tanner Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210810002560 ME Practitioner - Occupational Therapist in Private Practice 3072917244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saco Bay Orthopaedic and Sports Physical Therapy IncGroup PAC ID 9537069265, 137 clinicians

Practice addresses (Care Compare)

1274 Congress St
FL 3
Portland, ME 04102-2111
Phone (207) 888-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT862MEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Mar 29, 2022 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc Occupational Therapist Current Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Mar 29, 2022 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Atlantic Prosthetic and Orthotic Services Past Accepting new patients

Locations

730 Center St
Ste 9
Auburn, ME 04210
Phone (207) 783-3450

1274 Congress St
Fl 3
Portland, ME 04102
Phone (207) 888-0900

400 North St
#2
Saco, ME 04072
Phone (207) 282-7121

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1235708447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 CONGRESS ST FL 3",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022111",
            "telephone_number": "207-888-0900",
            "fax_number": "207-253-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 CONGRESS ST FL 3",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022111",
            "telephone_number": "207-888-0900",
            "fax_number": "207-253-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "CAROL",
        "middle_name": "LYNNE",
        "credential": "OT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "TANNER",
            "middle_name": "L",
            "credential": "OT/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.