Cory R Pelkey, OCC-T

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT1650 Issued in ME

Practice address

22 Station Ave Ste 201
Brunswick, ME 04011-2092

Phone

(207) 721-8411

NPI assigned

Jun 20, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1578826046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-482-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 STATION AVE STE 201",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112092",
            "telephone_number": "207-721-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELKEY",
        "first_name": "CORY",
        "middle_name": "R",
        "credential": "OCC-T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT1650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578826046",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pathways of Maine, LLC
• Deborah Patten, MD
• Joanne Rush Peabody, OTR/L
• Dahlia Pease
• Julie K. Pease, MD
• Kristen Pelkey, PT
• Hilary Pelletier, DPM
• Joseph Charles Pelletier, MD
• Gregory L. Penner, M.D.
• Maureen E Perdue, DO

• Occupational Therapist in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.