Individual provider Active NPI

Maren A Nelson, M.A., OTL

  • Occupational Therapist
  • Cape Elizabeth, ME
National Provider Identifier
1386711562
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT446 Issued in ME
Practice address
2 Davis Point LN Unit 1a
Cape Elizabeth, ME 04107-2628
Phone
(207) 767-9773
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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 OT446 ME Primary

Addresses

Primary practice location

2 Davis Point LN Unit 1a
Cape Elizabeth, ME 04107-2628

Mailing address

217 Longwoods Rd
Falmouth, ME 04105-2608
Phone (207) 767-9773

Other names 1

  • Maren Nelson Nagem Former 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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
OT446MEMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1386711562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 LONGWOODS RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052608",
            "telephone_number": "207-767-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DAVIS POINT LN UNIT 1A",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041072628",
            "telephone_number": "207-767-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MAREN",
        "middle_name": "A",
        "credential": "M.A., OTL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAREN",
            "last_name": "NAGEM",
            "middle_name": "NELSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cape Elizabeth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.