Joanna Maines Balogh, M.S., OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2805 Issued in ME

Practice address

97 Clinton St
Portland, ME 04103-3207

Phone

(207) 939-3966

NPI assigned

Mar 30, 2011

Last updated

Dec 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1619266715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 CLINTON ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033207",
            "telephone_number": "207-939-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 CLINTON ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033207",
            "telephone_number": "207-939-3966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 State House Sta",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043333207",
            "country_code": "US",
            "telephone_number": "207-624-6660",
            "fax_number": "207-624-6661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALOGH",
        "first_name": "JOANNA",
        "middle_name": "MAINES",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT2805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Baldwin
• Jeffrey A Balke, MD
• Jeffrey A Ball, MD
• Kathleen Marie Ballard, PA-C
• Mark W Balles, M.D.
• Lisa M Bals, LCSW
• Katherine D. Baltes, L.C.S.W.
• Katherine Balzano-Cowan, CRNA
• Michael Christopher Banas, CRNA
• John D. Bancroft, MD

• Occupational Therapist in Portland, ME
• Providers in Portland, ME by specialty
• Occupational Therapist in Maine

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

Verify at the official NPI Registry.