NPIMap

Organization Active NPI

Coastal Kids Occupational Therapy PLLC

  • Hearing and Speech Clinic/Center
  • Arundel, ME
National Provider Identifier
1801545207
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
COASTAL KIDS OCCUPATIONAL THERAPY PLLC
Practice address
1222 Portland Rd
Arundel, ME 04046-8104
Phone
(207) 337-1058
NPI assigned
Mar 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Pepper Gallagher, OTR/L
Title
Owner
Phone
(207) 337-1058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

1222 Portland Rd
Arundel, ME 04046-8104

Mailing address

8 Warrens Way
Kennebunk, ME 04043-6115
Phone (207) 337-1058

National Provider Directory

National Provider Directory
Tax ID family
Coastal Kids Occupational Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1801545207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WARRENS WAY",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436115",
            "telephone_number": "207-337-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 PORTLAND RD",
            "city": "ARUNDEL",
            "state": "ME",
            "postal_code": "040468104",
            "telephone_number": "207-337-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL KIDS OCCUPATIONAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "PEPPER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-337-1058",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arundel, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.