Raechell Kearney, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2969 Issued in ME

Practice address

887 Congress St Ste 300
Portland, ME 04102-3103

Phone

(207) 662-5555

Fax

(207) 662-5526

NPI assigned

Aug 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Raechell Luce Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1346765633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 RIVERSIDE ST UNIT 6B",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 CONGRESS ST STE 300",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023103",
            "telephone_number": "207-662-5555",
            "fax_number": "207-662-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "RAECHELL",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT2969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAECHELL",
            "last_name": "LUCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Beatrice Kavesh, PHD
• Shadia Kawkabani, DO
• Daniyah Kazadi
• Hannah Rose Kazilionis, LCSW, LADC
• Timothy A Kearins, O.D.
• Maureen A Keating, RN
• Laura Jane Keech, AUD
• Michele Keef, LMFT
• Ryan Christopher Keefe, MD
• Colleen G Keegan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.