Individual provider Active NPI

Angela Tirabassi, MS, OTR/L

  • Occupational Therapist
  • Yarmouth, ME
National Provider Identifier
1861090813
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2976 Issued in NH
Practice address
289 Sligo Rd Apt 3
Yarmouth, ME 04096-8394
Phone
(207) 712-0456
NPI assigned
Oct 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 OT3679 ME
Occupational Therapist 225X00000X 2976 NH Primary

Addresses

Primary practice location

289 Sligo Rd Apt 3
Yarmouth, ME 04096-8394

Mailing address

289 Sligo Rd Apt 3
Yarmouth, ME 04096-8394

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angela@dunstanpediatric.com Dunstan Pediatric Services

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
OT3679MEMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1861090813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 SLIGO RD APT 3",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040968394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 SLIGO RD APT 3",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040968394",
            "telephone_number": "207-712-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRABASSI",
        "first_name": "ANGELA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT3679",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "2976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela@dunstanpediatric.com",
            "affiliation": "Y",
            "affiliationName": "Dunstan Pediatric Services",
            "address_1": "289 Sligo Rd Apt 3",
            "city": "Yarmouth",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040968394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yarmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.