Individual provider Active NPI

Elizabeth Farr, OTR/L

  • Occupational Therapist
  • Portland, ME
National Provider Identifier
1679161202
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3626 Issued in ME
Practice address
630 Ocean Ave
Portland, ME 04103-2704
Phone
(207) 221-7000
NPI assigned
Jan 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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 OT3626 ME Primary

Addresses

Primary practice location

630 Ocean Ave
Portland, ME 04103-2704

Mailing address

630 Ocean Ave
Portland, ME 04103-2704

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Eyattaw@thecedarsportland.org Direct The Cedars Rehabilitation Center

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

LicenseStateTypeSpecialty
OT3626MEMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: eyattaw@thecedarsportland.org

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1679161202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 OCEAN AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 OCEAN AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032704",
            "telephone_number": "207-221-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARR",
        "first_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT3626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Eyattaw@thecedarsportland.org",
            "affiliation": "Y",
            "affiliationName": "The Cedars Rehabilitation Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "630 Ocean Ave",
            "city": "Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041032704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.