Active NPI
Distinct Solutions Therapy LLC
- Occupational Therapist
- Portland, ME
National Provider Identifier
1609592294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- DISTINCT SOLUTIONS THERAPY LLC
- Practice address
- 90 Dorothy St
Portland, ME 04103-6300 - Phone
- (207) 610-9096
- NPI assigned
- Oct 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darcelle Stillman, OTR/L
- Title
- Owner
- Phone
- (207) 610-9096
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
90 Dorothy St
Portland, ME 04103-6300
Mailing address
90 Dorothy St
Portland, ME 04103-6300
Phone (207) 610-9096
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673913600000",
"number": "1609592294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 DOROTHY ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041036300",
"telephone_number": "207-610-9096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 DOROTHY ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041036300",
"telephone_number": "207-610-9096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISTINCT SOLUTIONS THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-14",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A",
"authorized_official_last_name": "STILLMAN",
"authorized_official_first_name": "DARCELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-610-9096",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"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 Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.