Jill Annette Galen, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2234 Issued in ME

Practice address

15 Hasson St
Farmingdale, ME 04344-1613

Phone

(207) 588-7692

Fax

(207) 588-7693

NPI assigned

Apr 18, 2016

Last updated

Apr 18, 2016By 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

Other names 1

• Mrs. Jill Annette Galen Former name

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1467806307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 HENRY CREEK WAY",
            "city": "HARPSWELL",
            "state": "ME",
            "postal_code": "040792202",
            "telephone_number": "207-833-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HASSON ST",
            "city": "FARMINGDALE",
            "state": "ME",
            "postal_code": "043441613",
            "telephone_number": "207-588-7692",
            "fax_number": "207-588-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALEN",
        "first_name": "JILL",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT2234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "GALEN",
            "middle_name": "ANNETTE",
            "prefix": "MRS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.