Kelly Weber, OTR/L

Individual provider Active NPI Pediatric Occupational Therapist · Arundel, ME

NPI 1265442008 · NPPES record last updated Sep 1, 2023

Key facts

NPI
1265442008
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
OT380 (ME)
Practice address
39 Limerick Rd
Arundel, ME 04046-8158
Phone
(207) 985-7861
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Massabesic Health Resources PA Past
since Mar 1, 2016
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT380 ME Yes

Addresses

Primary practice location

39 Limerick Rd
Arundel, ME 04046-8158

Mailing address

39 Limerick Rd
Arundel, ME 04046-8158
Phone (207) 985-7861

Other identifiers

IdentifierTypeStateIssuer
030968OtherMEANTHEM BC/BS
202420000MedicaidME

Other providers in Arundel, ME

All providers in Arundel, ME · Pediatric Occupational Therapist in Maine

Sources for this page

Verify at the official NPI Registry.