Lincoln Lakes Therapy

Organization Active NPI Occupational Therapist · Chester, ME

NPI 1487401170 · NPPES record last updated May 1, 2024

Key facts

NPI
1487401170
Entity type
Organization (NPI type 2)
Primary specialty
Occupational Therapist 225X00000X
Legal business name
LINCOLN LAKES THERAPY
Practice address
20 N Chester Rd
Chester, ME 04457-5735
Phone
(207) 290-7438
NPI assigned
May 1, 2024
Organization subpart
No

Authorized official

Name
Katie Niles, OTR/L
Title
Occupational Therapist
Phone
(207) 290-7438

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225X00000X Yes

Addresses

Primary practice location

20 N Chester Rd
Chester, ME 04457-5735

Mailing address

20 N Chester Rd
Chester, ME 04457-5735
Phone (207) 290-7438

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 1, 2024.

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1487401170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N CHESTER RD",
            "city": "CHESTER",
            "state": "ME",
            "postal_code": "044575735",
            "telephone_number": "207-290-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N CHESTER RD",
            "city": "CHESTER",
            "state": "ME",
            "postal_code": "044575735",
            "telephone_number": "207-290-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN LAKES THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "NILES",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "207-290-7438",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, ME

All providers in Chester, ME · Occupational Therapist in Maine

Sources for this page

Verify at the official NPI Registry.