Kathleen Rose Mazuroski, MOTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3292 Issued in ME

Practice address

83 Federal St
Wiscasset, ME 04578-4004

Phone

(207) 882-7767

NPI assigned

Sep 8, 2017

Last updated

Mar 17, 2018By 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

Other names 1

• Kathleen Rose Milliken Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346768454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TEAL POINT DR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 FEDERAL ST",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045784004",
            "telephone_number": "207-882-7767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Gardiner Rd",
            "address_purpose": "LOCATION",
            "city": "Wiscasset",
            "state": "ME",
            "postal_code": "045784217",
            "country_code": "US",
            "telephone_number": "207-882-4104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZUROSKI",
        "first_name": "KATHLEEN",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "MOTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT3292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "MILLIKEN",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cortney Linville, DO
• Nicholas Loscocco, LADC, MHRT/C
• Thomas Charles Lusth, LCPC-C
• Mainehealth (MaineHealth Primary Care)
• Charles Robert May, LCSW
• Colin McClure, PA
• Miles Memorial Hospital, Inc. (MMG Wiscasset)
• David Hardison Otto, MD
• Elsa Whittington Parson, FNP
• Janet D Proulx

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.