Active NPI
Rebecca Rafferty, OTR/L
- Occupational Therapist
- Saco, ME
National Provider Identifier
1821656810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3463
- Practice address
- Mainely Kidz PT
895 Portland Rd.
Saco, ME 04072 - Phone
- (207) 439-5104
- NPI assigned
- Jun 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | OT3463 | ME | Primary |
Addresses
Primary practice location
Mainely Kidz PT
895 Portland Rd.
Saco, ME 04072
Mailing address
16 Harrison Ave
Saco, ME 04072-3249
Phone (207) 712-9519
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 |
|---|---|---|---|
| OT3463 | ME | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1821656810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 HARRISON AVE",
"city": "SACO",
"state": "ME",
"postal_code": "040723249",
"telephone_number": "207-712-9519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MAINELY KIDZ PT",
"address_2": "895 PORTLAND RD.",
"city": "SACO",
"state": "ME",
"postal_code": "04072",
"telephone_number": "207-439-5104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFFERTY",
"first_name": "REBECCA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2021-02-09",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT3463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.