Individual provider Active NPI

Carrie Mabry, OT

  • Occupational Therapist
  • Ellsworth, ME
National Provider Identifier
1659538874
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT1818 Issued in ME
Practice address
5 Long LN Ste 2
Ellsworth, ME 04605-1734
Phone
(207) 619-1172
NPI assigned
May 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT1818 ME Primary

Addresses

Primary practice location

5 Long LN Ste 2
Ellsworth, ME 04605-1734

Mailing address

101 Cross Rd
Stetson, ME 04488-3101
Phone (207) 852-8438

Other identifiers 1

IdentifierTypeStateIssuer
414160099MedicaidME

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

LicenseStateTypeSpecialty
OT1818MEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Acadia Therapy Services LLC CurrentSince Oct 8, 2023 Accepting new patients
Results Physical and Occupational Therapy Past Accepting new patients
Exuberant Living, PA Occupational Therapist Past Accepting new patients

Locations

5 Long Ln
Ste 2
Ellsworth, ME 04605
Phone (207) 460-0209

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1659538874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CROSS RD",
            "city": "STETSON",
            "state": "ME",
            "postal_code": "044883101",
            "telephone_number": "207-852-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LONG LN STE 2",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051734",
            "telephone_number": "207-619-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABRY",
        "first_name": "CARRIE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT1818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414160099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.