Individual provider Active NPI

Erica Marie Bosse, OT

  • Occupational Therapist
  • Lewiston, ME
National Provider Identifier
1831214832
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 1738 Issued in ME
Practice address
15 Strawberry Ave
Lewiston, ME 04240-5941
Phone
(207) 777-7740
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT1738 ME
Occupational Therapist 225X00000X OT 1738 ME Primary

Addresses

Primary practice location

15 Strawberry Ave
Lewiston, ME 04240-5941

Mailing address

81 Simplicity Way
Poland, ME 04274-5119
Phone (207) 998-9065

Other practice location 1

102 Campus Ave
Lewiston, ME 04240
Phone (207) 777-4219

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210413000227 ME Practitioner - Occupational Therapist in Private Practice 3577971514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Androscoggin Home Health Services IncGroup PAC ID 2668467614, 42 clinicians

Practice addresses (Care Compare)

15 Strawberry Ave
Lewiston, ME 04240-5941
Phone (207) 777-7740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT 1738MEMDOccupational Therapist
OT1738MEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Androscoggin Home Health Services, Inc. Occupational Therapist CurrentSince Jan 1, 2021 Accepting new patients
Androscoggin Home Health Services, Inc Current Accepting new patients
Androscoggin Home Health Services, Inc. Occupational Therapist CurrentSince Jan 1, 2021 Accepting new patients

Locations

165 Capitol St
Augusta, ME 04330
Phone (207) 623-1170

498 Essex St
Ste 104
Bangor, ME 04401
Phone (207) 947-0768

175 Portland Rd
Ste 4
Bridgton, ME 04009
Phone 2077777740 ext. 5225

1073 W Main St
Dover Foxcroft, ME 04426
Phone (207) 564-0200

176 Livermore Falls Rd
Farmington, ME 04938
Phone 2077777740 ext. 3208

710 Main St
#1
Lewiston, ME 04240
Phone (207) 741-1345

15 Strawberry Ave
Lewiston, ME 04240
Phone (207) 520-9329

39 Main St
Ste 3
Norway, ME 04268
Phone 2077777740 ext. 6202

181 Academy St
Ste 6
Presque Isle, ME 04769
Phone (207) 741-1050

180 Main St
Waterville, ME 04901
Phone (207) 458-3759

Organizations & group practices 3

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1831214832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 SIMPLICITY WAY",
            "city": "POLAND",
            "state": "ME",
            "postal_code": "042745119",
            "telephone_number": "207-998-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STRAWBERRY AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405941",
            "telephone_number": "207-777-7740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Campus Ave",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "04240",
            "country_code": "US",
            "telephone_number": "207-777-4219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSSE",
        "first_name": "ERICA",
        "middle_name": "MARIE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT1738",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT 1738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.