Katie Lynn Todd

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3269 Issued in ME

Practice address

103 Texas Ave
Bangor, ME 04401-4324

Phone

(207) 947-4557

NPI assigned

Aug 30, 2018

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

State licenses

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1639651268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 TEXAS AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014324",
            "telephone_number": "207-947-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 TEXAS AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014324",
            "telephone_number": "207-947-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT3269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Tipping, CADC
• Lenore Marie Tipping, PH.D.
• John Tivnan, D.O.
• Gaston To'Olo, D.M.D.
• Ivy A G Todd, PNPC
• Meredith L Todd, MD
• Sophie Todd, D.O
• Michelle E Toder, M.D.
• Togus Vamc
• Kishore Anoop Tolani

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.