Individual provider Active NPI

Haleigh Jipson, MSOT, OTR/L

  • Occupational Therapist
  • St. Agatha, ME
National Provider Identifier
1518779313
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3418 Issued in ME
Practice address
368 Main St.
St. Agatha, ME 04772
Phone
(207) 543-7717
NPI assigned
Jan 21, 2025
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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 OT3418 ME Primary

Addresses

Primary practice location

368 Main St.
St. Agatha, ME 04772

Mailing address

56 S Perley Brook Rd
Fort Kent, ME 04743-1912
Phone (207) 745-5275

Other names 1

  • Haleigh Bond Former name

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

State licenses

LicenseStateTypeSpecialty
OT3418MEMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1518779313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 S PERLEY BROOK RD",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431912",
            "telephone_number": "207-745-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 MAIN ST.",
            "city": "ST. AGATHA",
            "state": "ME",
            "postal_code": "04772",
            "telephone_number": "207-543-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIPSON",
        "first_name": "HALEIGH",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT3418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEIGH",
            "last_name": "BOND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St. Agatha, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.