Active NPI
Grace Lynn McLean, COTA/L
- Occupational Therapy Assistant
- Waterville, ME
National Provider Identifier
1457976391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OA3810
- Practice address
- 7 Highwood St
Waterville, ME 04901-5739 - Phone
- (207) 873-0705
- NPI assigned
- Jun 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0831 | NH | |
| Occupational Therapy Assistant | 224Z00000X | OA3810 | ME | Primary |
Addresses
Primary practice location
7 Highwood St
Waterville, ME 04901-5739
Mailing address
897 China Rd
Winslow, ME 04901-0318
Phone (207) 751-7014
Other practice location 1
50 Pheasant Rd
Peterborough, NH 03458-2110
Phone (603) 924-7267
Other names 1
- Grace Lynn Carle
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 |
|---|---|---|---|
| OA3810 | ME | MD | Occupational Therapy Assistant |
| 0831 | NH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1457976391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "897 CHINA RD",
"city": "WINSLOW",
"state": "ME",
"postal_code": "049010318",
"telephone_number": "207-751-7014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 HIGHWOOD ST",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049015739",
"telephone_number": "207-873-0705"
}
],
"practiceLocations": [
{
"address_1": "50 Pheasant Rd",
"address_purpose": "LOCATION",
"city": "Peterborough",
"state": "NH",
"postal_code": "034582110",
"country_code": "US",
"telephone_number": "603-924-7267",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLEAN",
"first_name": "GRACE",
"middle_name": "LYNN",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-16",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NH",
"license": "0831",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "ME",
"license": "OA3810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GRACE",
"last_name": "CARLE",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.