Individual provider Active NPI

Meridyth R Astrosky, OTRL

  • Occupational Therapist
  • Portland, ME
National Provider Identifier
1376734665
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT479 Issued in ME
Practice address
26 Portland St
Portland, ME 04101-2912
Phone
(207) 761-8402
Fax
(207) 761-8460
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT479 ME Primary

Addresses

Primary practice location

26 Portland St
Portland, ME 04101-2912

Mailing address

26 Portland St
Portland, ME 04101-2912
Phone (207) 761-8402

Other identifiers 1

IdentifierTypeStateIssuer
024747OtherMEANTHEM

Other names 1

  • Meridyth Ann Rauschke Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1376734665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PORTLAND ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012912",
            "telephone_number": "207-761-8402",
            "fax_number": "207-761-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PORTLAND ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012912",
            "telephone_number": "207-761-8402",
            "fax_number": "207-761-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTROSKY",
        "first_name": "MERIDYTH",
        "middle_name": "R",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "024747",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERIDYTH",
            "last_name": "RAUSCHKE",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.