Emily Odermann
Individual provider Active NPI Occupational Therapist · Old Town, ME
NPI 1609280379 · NPPES record last updated Apr 30, 2020
Key facts
- NPI
- 1609280379
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT2858 (ME)
- Practice address
- 240 Main St Ste 4
Old Town, ME 04468-1482 - Phone
- (207) 827-4100
- NPI assigned
- Jun 20, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT2858 | ME | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back in Motion Physical Therapy, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT2858 | ME | Yes |
Addresses
Primary practice location
240 Main St Ste 4
Old Town, ME 04468-1482
Mailing address
165 Chamberlain St
Brewer, ME 04412-1903
Phone (207) 450-3792
Other providers in Old Town, ME
- Tessa T Nguyen
- Evelyn Dorothy Niles
- Noonan Chiropractic
- Todd D O'Brien
- Byron Judson Oakes
- Heather D Okeefe
- Old Town Residential Services Corp.
- Old Town School Dept.
- Jenny Marie Omlor
- Evan Mark Paradis
All providers in Old Town, ME · Occupational Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.