Beth M Woodbrey-Johnson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT219 Issued in ME

Practice address

281 Burleigh Rd
Bangor, ME 04401-2511

Phone

(207) 262-7173

Fax

(207) 947-2465

NPI assigned

Dec 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Woodbrey Hand & Pediatric Therapy, Inc.

  • Clinic/Center
  • Bangor, ME
  • NPI 1265554653
  NPD (past) Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1831252048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 835",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044020835",
            "telephone_number": "207-262-7173",
            "fax_number": "207-947-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 BURLEIGH RD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012511",
            "telephone_number": "207-262-7173",
            "fax_number": "207-947-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODBREY-JOHNSON",
        "first_name": "BETH",
        "middle_name": "M",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202200099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Wood, PHARMD
• Jaime Lynn Wood, CADC
• Jonathon P Wood, MD
• William Wood, M. D.
• Woodbrey Hand & Pediatric Therapy, Inc.
• Brad J. Woodford, DDS, MS
• April Woodman, LMSW-CC
• Maegan L Woodman, FNPC
• Phillip Woodruff, MD
• Alicia Woodrum

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.