Active NPI
Rowan Theriault, OTR/L
- Occupational Therapist
- Lewiston, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 300 Main St
Lewiston, ME 04240-7027 - Phone
- (207) 795-2590
- NPI assigned
- Jun 21, 2021
- Last updated
- Feb 4, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
300 Main St
Lewiston, ME 04240-7027
Mailing address
300 Main St
Lewiston, ME 04240-7027
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wallacro@cmhc.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients |
Locations
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Bridgton, ME
- NPI 1154370153
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Critical Access Hospital
- Rumford, ME
- NPI 1205991122
-
dba Bridgton Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Bridgton, ME
- NPI 1477691467
-
dba CMMC Specialty Pharmacy
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
dba Rumford Hospital Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Rumford, ME
- NPI 1982742482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1902475387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MAIN ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MAIN ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407027",
"telephone_number": "207-795-2590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THERIAULT",
"first_name": "ROWAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-21",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wallacro@cmhc.org",
"affiliation": "N",
"address_1": "300 Main St",
"city": "Lewiston",
"state": "ME",
"country_code": "US",
"postal_code": "042407027",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Feb 4, 2026; 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.