Timothy Edward Reidman, MOT, OTRL

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT1597 Issued in ME

Practice address

162 Hartley St
Portland, ME 04103-3231

Phone

(207) 415-6852

NPI assigned

Mar 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Timothy Edward Reidman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902926942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 HARTLEY ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033231",
            "telephone_number": "207-415-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 HARTLEY ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033231",
            "telephone_number": "207-415-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDMAN",
        "first_name": "TIMOTHY",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "MOT, OTRL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "OT1597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "REIDMAN",
            "middle_name": "EDWARD",
            "prefix": "MR.",
            "credential": "MOT, OTRL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rehabilitation Associates PC
• Joshua Rehberg, MD
• Reid William Salon & Day Spa
• Colin H Reid, LCPC-C
• Madeleine Vivian Reid, ATC
• Jackie Ellyn Reifer, MED SLPCCC
• Isabella Reil
• Nicole Reil
• Casie Jo Reilly, APRN
• Drew S. Reilly

• Specialist in Portland, ME
• Providers in Portland, ME by specialty
• Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.