Individual provider Active NPI

Lauren Eva Quintiliani, MS OTR/L

  • Occupational Therapist
  • Westbrook, ME
National Provider Identifier
1477319739
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT4588 Issued in ME
Practice address
12 Westbrook CMN
Westbrook, ME 04092-2819
Phone
(207) 591-7210
NPI assigned
Feb 26, 2024
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT4588 ME Primary

Addresses

Primary practice location

12 Westbrook CMN
Westbrook, ME 04092-2819

Mailing address

14 Goldenwood Dr
Scarborough, ME 04074-8426
Phone (207) 776-1527

Other practice location 1

15 Lund Rd
Saco, ME 04072-1806
Phone (207) 591-7210

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT4588MEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Development Center Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1477319739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GOLDENWOOD DR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748426",
            "telephone_number": "207-776-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WESTBROOK CMN",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922819",
            "telephone_number": "207-591-7210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Lund Rd",
            "address_purpose": "LOCATION",
            "city": "Saco",
            "state": "ME",
            "postal_code": "040721806",
            "country_code": "US",
            "telephone_number": "207-591-7210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINTILIANI",
        "first_name": "LAUREN",
        "middle_name": "EVA",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT4588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.