Active NPI
Sandra Bugbee Larsen, MS OTR/L
- Occupational Therapist
- Damariscotta, ME
National Provider Identifier
1285386904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3523
- Practice address
- 35 Miles St
Damariscotta, ME 04543-4047 - Phone
- (207) 563-1234
- NPI assigned
- Jan 24, 2022
- Last updated
- Jan 24, 2022
- Sex
- Female
- 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 | OT3523 | ME | Primary |
Addresses
Primary practice location
35 Miles St
Damariscotta, ME 04543-4047
Mailing address
10 Beacon Hill Rd
Southport, ME 04576-3045
Phone (207) 380-7055
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT3523 | ME | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1285386904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BEACON HILL RD",
"city": "SOUTHPORT",
"state": "ME",
"postal_code": "045763045",
"telephone_number": "207-380-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MILES ST",
"city": "DAMARISCOTTA",
"state": "ME",
"postal_code": "045434047",
"telephone_number": "207-563-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "SANDRA",
"middle_name": "BUGBEE",
"name_prefix": "Mrs.",
"credential": "MS OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-24",
"last_updated": "2022-01-24",
"certification_date": "2022-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT3523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Damariscotta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.