Valerie Prue, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2819 Issued in ME

Practice address

28 Gilman Plaza
C/O Watch Me Shine, Inc
Bangor, ME 04401

Phone

(207) 990-0162

Fax

(207) 990-0163

NPI assigned

Nov 27, 2013

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 names 1

• Valerie McMoarn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Watch Me Shine, Inc.

  • Early Intervention Provider Agency
  • Bangor, ME
  • NPI 1811124662
  NPD (past)

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1851721971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GILMAN PLAZA",
            "address_2": "C/O WATCH ME SHINE, INC.",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-990-0162",
            "fax_number": "207-990-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 GILMAN PLAZA",
            "address_2": "C/O WATCH ME SHINE, INC",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-990-0162",
            "fax_number": "207-990-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUE",
        "first_name": "VALERIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT2819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "MCMOARN",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Protea Behavioral Health Services
• Nichole Proulx, LMFT
• Tyler Proulx, DPT
• Timothy F Pruchnic, MD
• Joshua James Prue, PHARMD
• Otoniel David Puerto, MD
• Daniel John Puhlman, PHD, MFT
• Paul R Pultorak, D.O.
• Bethany Purinton
• Una Leanna Purvis, RDH, IPDH

• All providers in Bangor, ME
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.