Active NPI
Shea Lynn Hewitt, OTR/L
- Occupational Therapist
- Lincoln, ME
National Provider Identifier
1629679774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3977
- Practice address
- 36 Workman Ter
Lincoln, ME 04457-1162 - Phone
- (207) 794-2173
- NPI assigned
- Nov 5, 2020
- Last updated
- Dec 28, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14610 | NC | |
| Occupational Therapist | 225X00000X | OT3977 | ME | Primary |
Addresses
Primary practice location
36 Workman Ter
Lincoln, ME 04457-1162
Mailing address
108 Creamery Rd
Oswego, NY 13126-6160
Phone (315) 532-9307
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14610 | NC | MD | Pharmacist |
| OT3977 | ME | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1629679774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 CREAMERY RD",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131266160",
"telephone_number": "315-532-9307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 WORKMAN TER",
"city": "LINCOLN",
"state": "ME",
"postal_code": "044571162",
"telephone_number": "207-794-2173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEWITT",
"first_name": "SHEA",
"middle_name": "LYNN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-05",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "14610",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT3977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.