Active NPI
Faith L Moritz, OCCUPATIONAL THERAPI
- Occupational Therapist
- Portland, ME
National Provider Identifier
1629285390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT347
- Practice address
- 26 Portland Street
Portland, ME 04101 - Phone
- (207) 761-8402
- Fax
- (207) 761-8405
- NPI assigned
- May 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT347 | ME | Primary |
Addresses
Primary practice location
26 Portland Street
Portland, ME 04101
Mailing address
26 Portland Street
Portland, ME 04101
Phone (207) 761-8402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023222 | Other | ME | ANTHEM |
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 |
|---|---|---|---|
| OT347 | ME | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362441600000",
"number": "1629285390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 PORTLAND STREET",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04101",
"telephone_number": "207-761-8402",
"fax_number": "207-761-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 PORTLAND STREET",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04101",
"telephone_number": "207-761-8402",
"fax_number": "207-761-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORITZ",
"first_name": "FAITH",
"middle_name": "L",
"credential": "OCCUPATIONAL THERAPI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2013-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT347",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "023222",
"state": "ME"
}
],
"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 Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.