Active NPI
Peggy Jo Guimond Gagnon, OTR
- Occupational Therapist
- Norway, ME
National Provider Identifier
1780993113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1425
- Practice address
- 18 Grove St
Norway, ME 04268-5610 - Phone
- (207) 739-2242
- NPI assigned
- Oct 4, 2010
- Last updated
- Oct 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT1425 | ME | Primary |
Addresses
Primary practice location
18 Grove St
Norway, ME 04268-5610
Mailing address
PO Box 814
Bridgton, ME 04009-0814
Phone (207) 647-8777
Other names 1
- Peggy Jo Guimond
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT1425 | ME | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| O.T. to Play | Occupational Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286150400000",
"number": "1780993113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 814",
"city": "BRIDGTON",
"state": "ME",
"postal_code": "040090814",
"telephone_number": "207-647-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 GROVE ST",
"city": "NORWAY",
"state": "ME",
"postal_code": "042685610",
"telephone_number": "207-739-2242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIMOND GAGNON",
"first_name": "PEGGY",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-04",
"last_updated": "2010-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT1425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PEGGY",
"last_name": "GUIMOND",
"middle_name": "JO",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Norway, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.