Active NPI
Kristen Cushman Inman, MOT, OTR/L
- Pediatric Occupational Therapist
- Windham, ME
National Provider Identifier
1871508580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT1037
- Practice address
- 58 Evergreen LN
Windham, ME 04062-4714 - Phone
- (207) 892-8935
- Fax
- (207) 892-8935
- NPI assigned
- Jul 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT1037 | ME | Primary |
Addresses
Primary practice location
58 Evergreen LN
Windham, ME 04062-4714
Mailing address
58 Evergreen LN
Windham, ME 04062-4714
Phone (207) 892-8935
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 237-4358 | Other | ME | AETNA PROVIDER NUMBER |
| 061495 | Other | ME | ANTHEM PROVIDER NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT1037 | ME | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1871508580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 EVERGREEN LN",
"city": "WINDHAM",
"state": "ME",
"postal_code": "040624714",
"telephone_number": "207-892-8935",
"fax_number": "207-892-8935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 EVERGREEN LN",
"city": "WINDHAM",
"state": "ME",
"postal_code": "040624714",
"telephone_number": "207-892-8935",
"fax_number": "207-892-8935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INMAN",
"first_name": "KRISTEN",
"middle_name": "CUSHMAN",
"credential": "MOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "ME",
"license": "OT1037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "237-4358",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "061495",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Windham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.