Individual provider Active NPI

Aubrey L Wilson, MS,OTR/L

  • Occupational Therapist
  • Berwick, ME
National Provider Identifier
1851635551
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT2770 Issued in ME
Practice address
524 School St Apt 2
Berwick, ME 03901-2876
Phone
(207) 650-5367
NPI assigned
Nov 19, 2012
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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 OT2770 ME Primary
Occupational Therapist 225X00000X 2271 NH

Addresses

Primary practice location

524 School St Apt 2
Berwick, ME 03901-2876

Mailing address

524 School St Apt 2
Berwick, ME 03901-2876
Phone (207) 650-5367

Other practice location 1

47 Grove St
Apt 9
Kennebunk, ME 04043-7093
Phone (207) 650-5367

Other identifiers 1

IdentifierTypeStateIssuer
3082159MedicaidNH

Other names 1

  • Aubrey L Whittemore Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT2770MEMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1851635551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 SCHOOL ST APT 2",
            "city": "BERWICK",
            "state": "ME",
            "postal_code": "039012876",
            "telephone_number": "207-650-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 SCHOOL ST APT 2",
            "city": "BERWICK",
            "state": "ME",
            "postal_code": "039012876",
            "telephone_number": "207-650-5367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Grove St",
            "address_2": "Apt 9",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040437093",
            "country_code": "US",
            "telephone_number": "207-650-5367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "AUBREY",
        "middle_name": "L",
        "credential": "MS,OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT2770",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "2271",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3082159",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUBREY",
            "last_name": "WHITTEMORE",
            "middle_name": "L",
            "credential": "MS,OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berwick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.