Amanda Gagne, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2386 Issued in ME

Practice address

36 Oak St
Lewiston, ME 04240-7149

Phone

(207) 795-4100

NPI assigned

Apr 8, 2010

Last updated

Jan 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City of Lewiston School Department

  • Local Education Agency (LEA)
  • Lewiston, ME
  • NPI 1871708248
  NPD (past)
• Lewiston School Department

  • Local Education Agency (LEA)
  • Lewiston, ME
  • NPI 1164671020
  NPD (past)

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1871819300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 OAK ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 OAK ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407149",
            "telephone_number": "207-795-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNE",
        "first_name": "AMANDA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT2386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmine Frumiento, MD
• Functional Spine Center, PA
• Katlyn Marie Furness, LADC,CCS
• Amy Lynn Gabrielski, CADC
• Alyssa Ann Gagne
• Samantha Gagne
• Tracy Gagne, SLP
• Allison Maria Gagnon, PA-C
• Amanda J Gagnon, DO
• Cassandra Ann Gagnon, LD

• Occupational Therapist in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.