Individual provider Active NPI

Olivia Roy

  • Occupational Therapist
  • Oakland, ME
National Provider Identifier
1790678985
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
TO4838 Issued in ME
Practice address
840 Kennedy Memorial Dr
Oakland, ME 04963-4887
Phone
(207) 716-1863
NPI assigned
May 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 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 TO4838 ME Primary

Addresses

Primary practice location

840 Kennedy Memorial Dr
Oakland, ME 04963-4887

Mailing address

12 Shuman Ave Ste 16
Augusta, ME 04330-6020

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

LicenseStateTypeSpecialty
TO4838MEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gallant Therapy Services Occupational Therapist CurrentSince Jun 3, 2025 Accepting new patients

Locations

12 Shuman Ave
Ste 16
Augusta, ME 04330
Phone (207) 623-3900

840 Kennedy Memorial Dr
Oakland, ME 04963
Phone (207) 716-1863

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1790678985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SHUMAN AVE STE 16",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 KENNEDY MEMORIAL DR",
            "city": "OAKLAND",
            "state": "ME",
            "postal_code": "049634887",
            "telephone_number": "207-716-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "TO4838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.