Angela Grondin, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2734 Issued in ME

Practice address

618 Main St
Lewiston, ME 04240-5935

Phone

(207) 795-6110

Fax

(207) 795-6189

NPI assigned

Apr 28, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

NR Maine LLCGroup PAC ID 0648783308, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• NR Maine LLC

  • Rehabilitation Clinic/Center
  • Scarborough, ME
  • NPI 1902616568
  Medicare reassignment Care Compare group NPD
• Goodwill Industries of Northern New England

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Portland, ME
  • NPI 1588785463
  Medicare reassignment
• NR Maine, LLC

  • Rehabilitation Clinic/Center
  • Augusta, ME
  • NPI 1255122818
  NPD

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1457595928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405935",
            "telephone_number": "207-795-6110",
            "fax_number": "207-795-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405935",
            "telephone_number": "207-795-6110",
            "fax_number": "207-795-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONDIN",
        "first_name": "ANGELA",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT2734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432355099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherrie Lynn Grenier, OT
• Diane E Greslick, PMHNP BC, CNP
• Amanda Griffin, PHYSICAL THERAPIST
• John Grigas, LCSW
• Maria Morgan Grill, M.S. OTR/L
• Stacey Elaine Groomes, LMT
• Patricia J Grove, RN
• Jonathan Daniel Grover, BSN
• Savannah M. Grover, CADC
• Elliot J Gruen, DO

• Occupational Therapist in Lewiston, ME
• Providers in Lewiston, 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 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.