Individual provider Active NPI

Korianna Limoges, OTR/L

  • Occupational Therapist
  • Bridgton, ME
National Provider Identifier
1689485211
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT4580 Issued in ME
Practice address
25 Hospital Dr
Bridgton, ME 04009
Phone
(207) 647-6145
NPI assigned
Jan 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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 OT4580 ME Primary

Addresses

Primary practice location

25 Hospital Dr
Bridgton, ME 04009

Mailing address

272 Applewood Dr
Newport, VT 05855-8573
Phone (802) 673-9817

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319001249 ME Practitioner - Occupational Therapist in Private Practice 1951823905 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT4580MEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgton Hospital CurrentSince Feb 18, 2025 Accepting new patients
Bridgton Hospital CurrentSince Feb 18, 2025 Accepting new patients

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

25 Hospital Dr
Bridgton, ME 04009
Phone (207) 524-3501

Organizations & group practices 2

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": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1689485211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 APPLEWOOD DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058558573",
            "telephone_number": "802-673-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL DR",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "04009",
            "telephone_number": "207-647-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMOGES",
        "first_name": "KORIANNA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT4580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgton, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.