Individual provider Active NPI

Kaitlin Murphy Champagne, OTR/L

  • Occupational Therapist
  • Waterboro, ME
National Provider Identifier
1679200083
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT4310 Issued in ME
Practice address
392 Main St
Waterboro, ME 04087-3057
Phone
(207) 247-3216
Fax
(207) 247-3217
NPI assigned
Aug 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 OT4310 ME Primary

Addresses

Primary practice location

392 Main St
Waterboro, ME 04087-3057

Mailing address

PO Box 456
Waterboro, ME 04087-0456
Phone (207) 247-3216

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
OT4310MEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Massabesic Health Resources PA CurrentSince Jul 26, 2022 Accepting new patients

Locations

392 Main St
Waterboro, ME 04087
Phone (207) 347-3216

Organizations & group practices 1

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": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1679200083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "WATERBORO",
            "state": "ME",
            "postal_code": "040870456",
            "telephone_number": "207-247-3216",
            "fax_number": "207-247-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 MAIN ST",
            "city": "WATERBORO",
            "state": "ME",
            "postal_code": "040873057",
            "telephone_number": "207-247-3216",
            "fax_number": "207-247-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPAGNE",
        "first_name": "KAITLIN",
        "middle_name": "MURPHY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT4310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterboro, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.