Active NPI
Tammy Lee Bickmore, OTR
- Occupational Therapist
- Scarborough, ME
National Provider Identifier
1619089315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 1002
- Practice address
- 4 Winding Way
Scarborough, ME 04074-8658 - Phone
- (207) 883-1211
- Fax
- (207) 883-1211
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 1002 | ME | Primary |
| Occupational Therapist | 225X00000X | 3584 | MA | |
| Occupational Therapist | 225X00000X | 0680 | NH |
Addresses
Primary practice location
4 Winding Way
Scarborough, ME 04074-8658
Mailing address
344 Preble St
South Portland, ME 04106-2236
Phone (207) 899-0171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431773599 | Medicaid | ME |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3584 | MA | MD | Occupational Therapist |
| OT 1002 | ME | MD | Occupational Therapist |
| 0680 | NH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Rehab, LLC | Occupational Therapist | Past | Accepting new patients |
| New England Care Services LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- South Portland, ME
- NPI 1831424159
-
- Occupational Therapist
- Cape Elizabeth, ME
- NPI 1962465799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254873600000",
"number": "1619089315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 PREBLE ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062236",
"telephone_number": "207-899-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 WINDING WAY",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040748658",
"telephone_number": "207-883-1211",
"fax_number": "207-883-1211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BICKMORE",
"first_name": "TAMMY",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2009-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT 1002",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "3584",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "0680",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "431773599",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.