Individual provider Active NPI

Elizabeth Anne Cammett, MOT, OTR/L

  • Occupational Therapist
  • Lewiston, ME
National Provider Identifier
1871224808
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT4252 Issued in ME
Practice address
618 Main St
Lewiston, ME 04240-5935
Phone
(207) 795-6110
NPI assigned
Jun 21, 2022
Last updated
Jun 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT4252 ME Primary

Addresses

Primary practice location

618 Main St
Lewiston, ME 04240-5935

Mailing address

618 Main St
Lewiston, ME 04240-5935
Phone (207) 795-6110

Other names 1

  • Betsy Cammett Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Elizabeth.cammett@goodwillnne.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231004002169 ME Practitioner - Occupational Therapist in Private Practice 4183079585 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT4252MEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Me LLC Occupational Therapist CurrentSince Sep 1, 2023 Accepting new patients
Goodwill Industries of Northern New England Occupational Therapist Past Accepting new patients

Locations

600 Commerce Dr
Scarborough, ME 04074
Phone (207) 730-6781

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1871224808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405935",
            "telephone_number": "207-795-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405935",
            "telephone_number": "207-795-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMMETT",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MOT,  OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT4252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Elizabeth.cammett@goodwillnne.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "618 Main St",
            "city": "Lewiston",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042405935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "CAMMETT",
            "credential": "MOT, OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 21, 2022; 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.