Active NPI
Tracey Lee-Anne Dearborn, MOTR L
- Occupational Therapist
- Brunswick, ME
National Provider Identifier
1366659674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1573
- Practice address
- 20 Barrows St
Brunswick, ME 04011-3214 - Phone
- (207) 319-1950
- NPI assigned
- May 17, 2007
- Last updated
- Jul 8, 2007
- 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 | OT1573 | ME | Primary |
Addresses
Primary practice location
20 Barrows St
Brunswick, ME 04011-3214
Mailing address
287 Ridge Rd Apt 2
Bowdoinham, ME 04008-5200
Phone (207) 666-3260
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT1573 | ME | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Town of Brunswick School Dept. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Brunswick School Dept.
- Local Education Agency (LEA)
- Brunswick, ME
- NPI 1891919486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366659674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 RIDGE RD APT 2",
"city": "BOWDOINHAM",
"state": "ME",
"postal_code": "040085200",
"telephone_number": "207-666-3260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 BARROWS ST",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113214",
"telephone_number": "207-319-1950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEARBORN",
"first_name": "TRACEY",
"middle_name": "LEE-ANNE",
"name_prefix": "Ms.",
"credential": "MOTR L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT1573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.