Active NPI
Timothy Kasper, OTR/L
- Occupational Therapist
- Portland, ME
National Provider Identifier
1447720495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3466
- Practice address
- 432 Stevens Ave
Portland, ME 04103-2607 - Phone
- (207) 874-8194
- NPI assigned
- Dec 3, 2018
- Sex
- Male
- 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 | OT3466 | ME | Primary |
Addresses
Primary practice location
432 Stevens Ave
Portland, ME 04103-2607
Mailing address
535 Cumberland Ave Apt 5
Portland, ME 04101-2177
Phone (802) 490-6651
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 |
|---|---|---|---|
| OT3466 | ME | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1447720495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 CUMBERLAND AVE APT 5",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012177",
"telephone_number": "802-490-6651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 STEVENS AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032607",
"telephone_number": "207-874-8194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASPER",
"first_name": "TIMOTHY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-03",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT3466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 3, 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.