NPIMap

Organization Active NPI

Acadia Therapy Services LLC

  • Pediatric Occupational Therapist
  • Ellsworth, ME
National Provider Identifier
1922592039
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
ACADIA THERAPY SERVICES LLC
Practice address
5 Long LN # 2
Ellsworth, ME 04605-1734
Phone
(207) 619-1172
NPI assigned
Jun 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Kristan Lewis, MS, OTR/LNPI 1174819189
Title
Owner/OT
Phone
(207) 460-0209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

5 Long LN # 2
Ellsworth, ME 04605-1734

Mailing address

5 Long LN # 2
Ellsworth, ME 04605-1734
Phone (207) 619-1172

National Provider Directory

National Provider Directory

Locations

216 High St
Ellsworth, ME 04605
Phone (207) 619-1172

5 Long Ln
Ste 2
Ellsworth, ME 04605
Phone (207) 460-0209

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1922592039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LONG LN # 2",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051734",
            "telephone_number": "207-619-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LONG LN # 2",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051734",
            "telephone_number": "207-619-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KRISTAN",
        "authorized_official_title_or_position": "OWNER/OT",
        "authorized_official_telephone_number": "207-460-0209",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 14, 2023; 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.