Active NPI
Christopher D Delenick, OT
- Occupational Therapist
- South Portland, ME
National Provider Identifier
1346696903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1854
- Practice address
- 127 Main St
South Portland, ME 04106-2647 - Phone
- (207) 767-2189
- Fax
- (207) 799-8346
- NPI assigned
- May 12, 2016
- 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 | OT1854 | ME | Primary |
Addresses
Primary practice location
127 Main St
South Portland, ME 04106-2647
Mailing address
127 Main St
South Portland, ME 04106-2647
Phone (207) 767-2189
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT1854 | ME | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1346696903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 MAIN ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062647",
"telephone_number": "207-767-2189",
"fax_number": "207-799-8346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 MAIN ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062647",
"telephone_number": "207-767-2189",
"fax_number": "207-799-8346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELENICK",
"first_name": "CHRISTOPHER",
"middle_name": "D",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-12",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT1854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.