Susan Shershow, OT
Individual provider Active NPI Pediatric Occupational Therapist · Northport, ME
NPI 1750698346 · NPPES record last updated Sep 3, 2010
Key facts
- NPI
- 1750698346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 66 (ME)
- Practice address
- 56 Bayside Rd
Edna Drinkwater School
Northport, ME 04849-4435 - Phone
- (207) 338-3430
- NPI assigned
- Sep 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66 | ME | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 66 | ME | Yes |
Addresses
Primary practice location
56 Bayside Rd
Edna Drinkwater School
Northport, ME 04849-4435
Mailing address
6 Mortland Rd
Rsu20 Special Services Office
Searsport, ME 04974-3332
Phone (207) 548-6643
Other providers in Northport, ME
- Katherine Elizabeth Box
- Meredith Grace Morgan
- Sherri D Murray
- Brad Raymond Olsen
- Seablue Physical Therapy LLC
- William M Strassberg
- Victoria L. Matthews, D.D.S., P.a.
- Jennifer Ann Wenz
- Lisa M Wing
- Karen J Young
All providers in Northport, ME · Pediatric Occupational Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.