Amy E Fernald, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT1743 Issued in ME

Practice address

24 Martin LN
Belfast, ME 04915-6099

Phone

(207) 930-7037

Fax

(207) 930-7210

NPI assigned

Sep 26, 2023

Sex

Female

Sole proprietor

Yes

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

Enrolled in ME

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Magnolia Outpatient Physical Therapy Services, LLC

  • Occupational Therapist
  • Belfast, ME
  • NPI 1851083919
  Medicare reassignment NPD

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1922887231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 EATON AVE",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431752",
            "telephone_number": "207-975-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MARTIN LN",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156099",
            "telephone_number": "207-930-7037",
            "fax_number": "207-930-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNALD",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT1743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Planning Association of Maine Inc
• Rhonda Feiman, L.AC
• Shelley Swanson Fein
• Kimberly Felicetti
• David Wells Ferguson, M.D.
• Kirsha Jo Finemore, AU.D., CCC-A
• Monica B Finley, FNPC
• Amy R Fiorilli, LCSW
• Kay H Fischer, MS, RD, LD
• Kayla Amy Flynn, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.

Verify at the official NPI Registry.