Organization Active NPI

Therapy Shoppe, LLC

  • Occupational Therapist
  • Mars Hill, ME
National Provider Identifier
1497569230
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
THERAPY SHOPPE, LLC
Practice address
93 Main St
Mars Hill, ME 04758
Phone
(207) 227-2677
NPI assigned
Feb 3, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Candace Miriam Donovan, OT/L, CLT-ALMNPI 1942407846
Title
Owner
Phone
(207) 227-2677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20250929000926 ME Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2668990755 Receives reassigned benefits from 1 practitioner
Practice locations: Mars Hill, ME

National Provider Directory

National Provider Directory
Tax ID family
Therapy Shoppe (2 organizations share this tax ID)

Locations

93 Main St
Mars Hill, ME 04758
Phone (207) 227-2677

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

93 Main St
Mars Hill, ME 04758

Mailing address

PO Box 683
Mars Hill, ME 04758-0683
Phone (207) 810-4579

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2025.

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1497569230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683",
            "city": "MARS HILL",
            "state": "ME",
            "postal_code": "047580683",
            "telephone_number": "207-810-4579",
            "fax_number": "207-425-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MAIN ST",
            "city": "MARS HILL",
            "state": "ME",
            "postal_code": "04758",
            "telephone_number": "207-227-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SHOPPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "MIRIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-227-2677",
        "authorized_official_credential": "OT/L, CLT-ALM"
    },
    "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 Mars Hill, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.