Active NPI
Carrie Mabry, OT
- Occupational Therapist
- Ellsworth, ME
National Provider Identifier
1659538874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1818
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 414160099 | Medicaid | ME |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT1818 | ME | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acadia Therapy Services LLC | Current | 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.
-
- Pediatric Occupational Therapist
- Ellsworth, ME
- NPI 1922592039
-
- Occupational Therapist
- Bangor, ME
- NPI 1962506675
-
- Specialist
- Dixmont, ME
- NPI 1861469082
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.