Organization Active NPI

OT Therapeutic Interventions PC

  • Specialist
  • Easton, ME
National Provider Identifier
1689059560
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OT291 Issued in ME
Legal business name
OT THERAPEUTIC INTERVENTIONS PC
Practice address
163 Fuller Rd
Easton, ME 04740-4115
Phone
(207) 488-9675
Fax
(207) 488-9079
NPI assigned
Jul 21, 2015
Last updated
Jan 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Julie Sotomayor, OTR/LNPI 1740217769
Title
Ceo
Phone
(207) 488-9675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OT291 ME Primary

Addresses

Primary practice location

163 Fuller Rd
Easton, ME 04740-4115

Mailing address

163 Fuller Rd
Easton, ME 04740-4115
Phone (207) 488-9675

Other names 1

  • Therapeutic Interventions Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160114000790 ME Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6901109503 Receives reassigned benefits from 1 practitioner
Practice locations: Presque Isle, ME

National Provider Directory

National Provider Directory

Locations

373 Main St
Presque Isle, ME 04769

373 Main St
Ste A
Presque Isle, ME 04769

373 Main St
Ste Ab
Presque Isle, ME 04769
Phone (207) 227-0100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1689059560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 FULLER RD",
            "city": "EASTON",
            "state": "ME",
            "postal_code": "047404115",
            "telephone_number": "207-488-9675",
            "fax_number": "207-488-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 FULLER RD",
            "city": "EASTON",
            "state": "ME",
            "postal_code": "047404115",
            "telephone_number": "207-488-9675",
            "fax_number": "207-488-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT THERAPEUTIC INTERVENTIONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "SOTOMAYOR",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-488-9675",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "OT291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapeutic Interventions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Easton, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.