NPIMap

Individual provider Active NPI

Gregory Kirk Molatch, OTR

  • Occupational Therapist
  • Ellsworth, ME
National Provider Identifier
1881633253
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT1016 Issued in ME
Practice address
185 State St
Suites C & D
Ellsworth, ME 04605-1830
Phone
(207) 664-6116
Fax
(207) 664-6118
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X OT1016 ME
Occupational Therapist 225X00000X OT1016 ME Primary
Ergonomics Occupational Therapist 225XE1200X OT1016 ME
Hand Occupational Therapist 225XH1200X OT1016 ME
Human Factors Occupational Therapist 225XH1300X OT1016 ME
Neurorehabilitation Occupational Therapist 225XN1300X OT1016 ME

Addresses

Primary practice location

185 State St
Suites C & D
Ellsworth, ME 04605-1830

Mailing address

878 Sugar Hill Rd
Eastbrook, ME 04634-4030
Phone (207) 565-8846

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT1016MEMDOrthotic Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Raven Hill Integrated Therapies, LLC PastSince Apr 1, 2006 Accepting new patients
Holistic Pain Management of Wyoming, LLC PastSince Apr 20, 2019 Accepting new patients
Raven Hill Integrated Therapies, LLC Orthotic Fitter Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1881633253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 SUGAR HILL RD",
            "city": "EASTBROOK",
            "state": "ME",
            "postal_code": "046344030",
            "telephone_number": "207-565-8846",
            "fax_number": "207-664-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 STATE ST",
            "address_2": "SUITES C & D",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051830",
            "telephone_number": "207-664-6116",
            "fax_number": "207-664-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLATCH",
        "first_name": "GREGORY",
        "middle_name": "KIRK",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "ME",
            "license": "OT1016",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT1016",
            "primary": true
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "ME",
            "license": "OT1016",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "ME",
            "license": "OT1016",
            "primary": false
        },
        {
            "code": "225XH1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Human Factors",
            "state": "ME",
            "license": "OT1016",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "ME",
            "license": "OT1016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.