Carolann Marie Jenkins, MS OT R/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3781 Issued in ME

Practice address

58 Drummond Ave
Waterville, ME 04901-5755

Phone

(207) 873-0695

NPI assigned

Dec 11, 2019

Last updated

May 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gallant Therapy Services

  • Developmentally Disabled Services Day Training Agency
  • Augusta, ME
  • NPI 1124253760

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1336787282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GETCHELL ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122206",
            "telephone_number": "207-598-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 DRUMMOND AVE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015755",
            "telephone_number": "207-873-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CAROLANN",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "MS OT R/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT3781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Jackson, M.D.
• Charles N Jacobs, MD
• Jessica Jacobson, OTR
• Jennifer Janerico
• Jeanette Ross
• Jeremy Stewart
• Andrea Jergesen
• John W. Hall, MD, LLC
• Andrea Lee Johnson
• Eric Dean Johnson, PHARMD

• Occupational Therapist in Waterville, ME
• Providers in Waterville, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.