Riley Dana-Marie Hanson

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT4675 Issued in ME

Practice address

19 White Pine Rd Ste C
Hermon, ME 04401-0258

Phone

(207) 355-1550

Fax

(207) 480-1541

NPI assigned

Jul 5, 2024

Last updated

Jul 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gallant Therapy Services

  • Developmentally Disabled Services Day Training Agency
  • Augusta, ME
  • NPI 1124253760

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1811733264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 BATTLE RIDGE RD",
            "city": "CLINTON",
            "state": "ME",
            "postal_code": "049273733",
            "telephone_number": "207-907-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WHITE PINE RD STE C",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "044010258",
            "telephone_number": "207-355-1550",
            "fax_number": "207-480-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "RILEY",
        "middle_name": "DANA-MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT4675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Jean Glidden, OTR/L
• Georgia Goodrich, PTA
• Samantha Mae Goodwin, OTA
• Samantha Jamie Gray, DDS
• Sheridan Louise Hanlon, COTA/L
• Lacey Henderson
• Hermon Family Dental, PA
• Hermon Volunteer Rescue and First Aid Squad, Inc (Hermon Vol Rescue Squad)
• Rebecca Rose Hollins, PHARMD
• Shelley Renee Illingworth, RPH

• Occupational Therapist in Hermon, ME
• Providers in Hermon, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; 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.