Individual provider Active NPI

Tammy Lee Bickmore, OTR

  • Occupational Therapist
  • Scarborough, ME
National Provider Identifier
1619089315
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 1002 Issued in ME
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

Updated by the provider on Oct 7, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
431773599MedicaidME

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

LicenseStateTypeSpecialty
3584MAMDOccupational Therapist
OT 1002MEMDOccupational Therapist
0680NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Rehab, LLC Occupational Therapist PastSince Jan 1, 2000 Accepting new patients
New England Care Services LLC Occupational Therapist PastSince Oct 6, 2009 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.

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.

Verify at the official NPI Registry.