Rae Lynn Stackpoole, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT1600 Issued in ME

Practice address

518 US Route 1 # 14&16
Kittery, ME 03904

Phone

(207) 361-7279

NPI assigned

Aug 25, 2016

Last updated

Jul 16, 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

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": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1396291878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BETTY WELCH RD",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039095350",
            "telephone_number": "207-361-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 US ROUTE 1 # 14&16",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "03904",
            "telephone_number": "207-361-7279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Lafayette Rd",
            "address_purpose": "LOCATION",
            "city": "Hampton Falls",
            "state": "NH",
            "postal_code": "038442322",
            "country_code": "US",
            "telephone_number": "603-926-0862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STACKPOOLE",
        "first_name": "RAE LYNN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ME",
            "license": "OT1600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley L Shapleigh, O.D.
• James Shea, PT
• Kimberlee Smith
• Nathan Raymond Smith
• Soothing Smiles Dental Hygiene
• John Barron Stallman II, PA-C
• Jonathan David Sterns II, MD, MPH
• Carlene Moran Stillson, FNP
• Kristen Stout, LADC
• Tammy Paulus Svenson, LICSW

• Pediatric Occupational Therapist in Kittery, ME
• Providers in Kittery, ME by specialty
• Pediatric Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.