Organization Active NPI

Blooming Into Motherhood LLC

  • Pediatric Occupational Therapist
  • Portland, ME
National Provider Identifier
1609319912
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT815 Issued in ME
Legal business name
BLOOMING INTO MOTHERHOOD LLC
Practice address
499 Stevens Ave
Portland, ME 04103-2678
Phone
(207) 808-2081
NPI assigned
Nov 18, 2016
Last updated
Nov 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Tricia Albert, OTR/L
Title
Occupational Therapist/Owner
Phone
(207) 808-2081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X OT815 ME Primary

Addresses

Primary practice location

499 Stevens Ave
Portland, ME 04103-2678

Mailing address

PO Box 1707
Scarborough, ME 04070-1707
Phone (207) 808-2081

National Provider Directory

National Provider Directory

Locations

499 Stevens Ave
Portland, ME 04103
Phone (207) 541-9235

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1609319912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1707",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040701707",
            "telephone_number": "207-808-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 STEVENS AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032678",
            "telephone_number": "207-808-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING INTO MOTHERHOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "207-808-2081",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ME",
            "license": "OT815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.

Verify at the official NPI Registry.