Active NPI
Grace Anne Sanborn, OTR/L
- Occupational Therapist
- Bridgton, ME
National Provider Identifier
1497598544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT4600
- Practice address
- 10 Hospital Dr
Bridgton, ME 04009-1148 - Phone
- (207) 647-6000
- NPI assigned
- Jun 17, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT4600 | ME | Primary |
Addresses
Primary practice location
10 Hospital Dr
Bridgton, ME 04009-1148
Mailing address
36 Seelye Dr
Cornish, ME 04020-3215
Phone (207) 602-8770
Other practice location 1
6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 301-6091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260129002840 | ME | Practitioner - Occupational Therapist in Private Practice | 5294213427 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
200 W Martin Luther King Blvd
Suite 1000
Chattanooga, TN 37402-2571
PO Box
Lewiston, ME 04243
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT4600 | ME | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgton Hospital | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients |
Locations
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medicare Defined Swing Bed Hospital Unit
- Bridgton, ME
- NPI 1477691467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1497598544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 SEELYE DR",
"city": "CORNISH",
"state": "ME",
"postal_code": "040203215",
"telephone_number": "207-602-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HOSPITAL DR",
"city": "BRIDGTON",
"state": "ME",
"postal_code": "040091148",
"telephone_number": "207-647-6000"
}
],
"practiceLocations": [
{
"address_1": "6 Glen Cove Dr",
"address_purpose": "LOCATION",
"city": "Rockport",
"state": "ME",
"postal_code": "048564272",
"country_code": "US",
"telephone_number": "207-301-6091",
"fax_number": "207-301-5266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANBORN",
"first_name": "GRACE",
"middle_name": "ANNE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-17",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT4600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.