Active NPI
Jaime Storey Kiesow, OTR/L
- Pediatric Occupational Therapist
- Falmouth, ME
National Provider Identifier
1659424380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT1178
- Practice address
- 170 US Route 1 Ste 100
Falmouth, ME 04105-2152 - Phone
- (207) 781-0022
- Fax
- (207) 781-0025
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT1178 | ME | Primary |
Addresses
Primary practice location
170 US Route 1 Ste 100
Falmouth, ME 04105-2152
Mailing address
170 US Route 1 Ste 100
Falmouth, ME 04105-2152
Phone (207) 781-0022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133260099 | Medicaid | ME |
Other names 1
- Mrs. Jaime Lynn Storeysmith
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 |
|---|---|---|---|
| OT1178 | ME | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Storeysmith Pediatric Clinic | Past | Accepting new patients | |
| Storeysmith Pediatric Clinic | Past | 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.
-
- Speech-Language Pathologist
- Falmouth, ME
- NPI 1760600803
-
- Speech-Language Pathologist
- Cumberland, ME
- NPI 1871765123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1659424380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 US ROUTE 1 STE 100",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "041052152",
"telephone_number": "207-781-0022",
"fax_number": "207-781-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 US ROUTE 1 STE 100",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "041052152",
"telephone_number": "207-781-0022",
"fax_number": "207-781-0025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIESOW",
"first_name": "JAIME",
"middle_name": "STOREY",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "ME",
"license": "OT1178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133260099",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAIME",
"last_name": "STOREYSMITH",
"middle_name": "LYNN",
"prefix": "MRS.",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Falmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.