Raven Hill Integrated Therapies, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT307 Issued in ME

Legal business name

RAVEN HILL INTEGRATED THERAPIES, LLC

Practice address

185 State St
Suites C&D
Ellsworth, ME 04605-1830

Phone

(207) 664-6116

Fax

(207) 664-6118

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Gregory Kirk Molatch, OTR/LNPI 1881633253

Title

President

Phone

(207) 664-6116

Specialties & licenses 9

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Kirk Molatch, OTR

  • Occupational Therapist
  • Ellsworth, ME
  • NPI 1881633253

  Orthotic Fitter

  NPD (past) Authorized official
• Tammy L Grice, COTA

  • Occupational Therapy Assistant
  • Ellsworth, ME
  • NPI 1629282561
  NPD (past)
• Margaret Anne Smith, OTR LMT

  • Occupational Therapist
  • Bangor, ME
  • NPI 1699793794

  Massage Therapist

  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1407894082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 SUGAR HILL RD",
            "city": "EASTBROOK",
            "state": "ME",
            "postal_code": "046344030",
            "telephone_number": "207-664-6116",
            "fax_number": "207-664-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 STATE ST",
            "address_2": "SUITES C&D",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051830",
            "telephone_number": "207-664-6116",
            "fax_number": "207-664-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVEN HILL INTEGRATED THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "MOLATCH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "KIRK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-664-6116",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "ME",
            "license": "OA633",
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotic Fitter",
            "state": "ME",
            "license": "OT1016",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT2661",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT1016",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT307",
            "primary": true
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "ME",
            "license": "OT1016",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "ME",
            "license": "OT1016",
            "primary": false
        },
        {
            "code": "225XH1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Human Factors",
            "state": "ME",
            "license": "OT1016",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "ME",
            "license": "OT1016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Joanne Pouwels, RN
• Primary Health, LLC
• Primary Health, LLC
• Prime Care Medical Supplies, Inc
• Pro-Med, Inc.
• Raven Hill Integrated Therapies, LLC
• Barbara W Reeve, M.D.
• Regional School Unit #24
• Daniel J. Reinke, MD
• Jane Reinoso, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.