Organization Active NPI

OT and Yoga LLC

  • Occupational Therapist
  • Freeport, ME
National Provider Identifier
1821554171
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
OT AND YOGA LLC
Practice address
147 Main St
Freeport, ME 04032-1353
Phone
(207) 869-6099
NPI assigned
Feb 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Carrie Donoghue, OTNPI 1467769885
Title
Owner/Provider
Phone
(207) 233-9473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

147 Main St
Freeport, ME 04032-1353

Mailing address

6 Scribner Dr
Freeport, ME 04032-6887
Phone (207) 712-7833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190610001420 ME Part B Supplier - Clinic/Group Practice 0143553982 Receives reassigned benefits from 1 practitioner
Practice locations: Freeport, ME

National Provider Directory

National Provider Directory

Locations

147 Main St
Freeport, ME 04032
Phone (207) 233-9473

15 Main St
Freeport, ME 04032
Phone (207) 233-9473

Practitioners & affiliated clinicians

Practitioners 1

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": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1821554171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SCRIBNER DR",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326887",
            "telephone_number": "207-712-7833",
            "fax_number": "207-869-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 MAIN ST",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040321353",
            "telephone_number": "207-869-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT AND YOGA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "DONOGHUE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "207-233-9473",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.