Individual provider Active NPI

Stephanie Baird, AC OT

  • Occupational Therapist
  • Portland, ME
National Provider Identifier
1720068869
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT292 Issued in ME
Practice address
222 St John St
Suite 226
Portland, ME 04102
Phone
(207) 871-5060
Fax
(207) 839-2197
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC159 ME
Occupational Therapist 225X00000X OT292 ME Primary

Addresses

Primary practice location

222 St John St
Suite 226
Portland, ME 04102

Mailing address

28 Smith St
South Portland, ME 04106-2238
Phone (207) 871-5060

Other identifiers 1

IdentifierTypeStateIssuer
025149OtherANTHEM BC BS OCCUPATIONAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081126000495 ME Practitioner - Occupational Therapist in Private Practice 7012077647 Practice locations: Portland, ME

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC159MEMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie CurrentSince Dec 21, 2021 Accepting new patients
Stephanie Baird Acupuncturist Past Accepting new patients

Locations

222 Saint John St
Ste 226
Portland, ME 04102
Phone (207) 871-5060

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1720068869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SMITH ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062238",
            "telephone_number": "207-871-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ST JOHN ST",
            "address_2": "SUITE 226",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-871-5060",
            "fax_number": "207-839-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "STEPHANIE",
        "credential": "AC OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ME",
            "license": "AC159",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS OCCUPATIONAL",
            "identifier": "025149",
            "state": null
        }
    ],
    "endpoints": [],
    "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 Dec 17, 2021; 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.