Laura Jean Eaton, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT1361 Issued in ME

Practice address

797 Wilson St Ste 2
Brewer, ME 04412-1003

Phone

(207) 947-8493

Fax

(207) 990-4819

NPI assigned

Oct 29, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Child Development Services

  • Early Intervention Provider Agency
  • Brewer, ME
  • NPI 1679029268
  NPD (past)

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1255631891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 NOTTINGHAM WAY",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121726",
            "telephone_number": "207-479-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 WILSON ST STE 2",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121003",
            "telephone_number": "207-947-8493",
            "fax_number": "207-990-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ME",
            "license": "OT1361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Peter Duncan-Morin, OTR
• Adam Duvall, COTA
• Holly Joan Dyer, OTR/L
• East Bank Health
• Eastern Maine Emergency Veterinary Clinic
• Kathryn Louise Eckert I, LMSW-CC
• Cory Ellis, PTA
• Nathaniel William Elwell, MS, PT
• Mary E Eyerer, MD
• Amy-Jo Fairbrother, LADC

• Pediatric Occupational Therapist in Brewer, ME
• Providers in Brewer, ME by specialty
• Pediatric Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.