Active NPI
Ryan Thurston
- Occupational Therapist
- Caribou, ME
National Provider Identifier
1508292897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2568
- Practice address
- 118 Bennett Dr
Suite 140
Caribou, ME 04736-2052 - Phone
- (207) 498-6334
- Fax
- (207) 493-3247
- NPI assigned
- Sep 19, 2013
- Sex
- Male
- 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 | OT2568 | ME | Primary |
Addresses
Primary practice location
118 Bennett Dr
Suite 140
Caribou, ME 04736-2052
Mailing address
118 Bennett Dr
Suite 140
Caribou, ME 04736-2052
Phone (207) 498-6334
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT2568 | ME | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1508292897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 BENNETT DR",
"address_2": "SUITE 140",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047362052",
"telephone_number": "207-498-6334",
"fax_number": "207-493-3247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 BENNETT DR",
"address_2": "SUITE 140",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047362052",
"telephone_number": "207-498-6334",
"fax_number": "207-493-3247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THURSTON",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-19",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT2568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caribou, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.