Building Blocks Pediatric Therapy Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT637 Issued in ME

Legal business name

BUILDING BLOCKS PEDIATRIC THERAPY INC.

Practice address

4 Mountain Rd
South Berwick, ME 03908-2149

Phone

(207) 216-3410

Fax

(207) 384-5845

NPI assigned

Mar 16, 2009

Last updated

Mar 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shirley Ann Dickson, OTR/L

Title

President

Phone

(207) 216-3410

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1659512036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MOUNTAIN RD",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039082149",
            "telephone_number": "207-216-3410",
            "fax_number": "207-384-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MOUNTAIN RD",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039082149",
            "telephone_number": "207-216-3410",
            "fax_number": "207-384-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING BLOCKS PEDIATRIC THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-216-3410",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0470761",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172880000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cheryl Ann Corrao, PA-C

• Occupational Therapist in South Berwick, ME
• Providers in South Berwick, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.