Active NPI
Adam Neal Richardson, OT
- Occupational Therapist
- Caribou, ME
National Provider Identifier
1265639215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 350052
- Practice address
- 10 Bernadette St
Caribou, ME 04736-2038 - Phone
- (207) 498-3102
- NPI assigned
- Jul 2, 2007
- 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 | 350052 | ME | Primary |
Addresses
Primary practice location
10 Bernadette St
Caribou, ME 04736-2038
Mailing address
10 Bernadette St
Caribou, ME 04736-2038
Phone (207) 498-3102
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 |
|---|---|---|---|
| 350052 | ME | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caribou Nursing Home, Inc. | Past | Accepting new patients | |
| Caribou Healthcare Center LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Skilled Nursing Facility
- Caribou, ME
- NPI 1811882855
-
- Nursing Facility/Intermediate Care Facility
- Caribou, ME
- NPI 1962402990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265639215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BERNADETTE ST",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047362038",
"telephone_number": "207-498-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BERNADETTE ST",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047362038",
"telephone_number": "207-498-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "ADAM",
"middle_name": "NEAL",
"name_prefix": "Mr.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "350052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caribou, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.