Woodbrey Hand & Pediatric Therapy, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OT219 Issued in ME

Legal business name

WOODBREY HAND & PEDIATRIC THERAPY, INC.

Practice address

281 Burleigh Rd
Bangor, ME 04401-2511

Phone

(207) 262-7173

Fax

(207) 947-2465

NPI assigned

Apr 4, 2007

Last updated

Apr 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beth M Woodbrey Johnson, OTRNPI 1831252048

Title

President

Phone

(207) 262-7173

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beth M Woodbrey-Johnson, OTR

  • Occupational Therapist
  • Bangor, ME
  • NPI 1831252048
  NPD (past) Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1265554653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 835",
            "address_2": "281 BURLEIGH RD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044020835",
            "telephone_number": "207-262-7173",
            "fax_number": "207-947-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 BURLEIGH RD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012511",
            "telephone_number": "207-262-7173",
            "fax_number": "207-947-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBREY HAND & PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "WOODBREY JOHNSON",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-262-7173",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ME",
            "license": "OT219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202200000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Min Je Woo, DO
• Dennis Wood, PHARMD
• Jaime Lynn Wood, CADC
• Jonathon P Wood, MD
• William Wood, M. D.
• Beth M Woodbrey-Johnson, OTR
• Brad J. Woodford, DDS, MS
• April Woodman, LMSW-CC
• Maegan L Woodman, FNPC
• Phillip Woodruff, MD

• Clinic/Center in Bangor, ME
• Providers in Bangor, ME by specialty
• Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.