Amaris Pedersen, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2712 Issued in ME

Practice address

51 Mountain Mist LN
Dixmont, ME 04932-3640

Phone

(207) 659-9043

NPI assigned

Mar 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amaris Goudreau Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Amaris Pedersen Occupational Therapy LLC

  • Occupational Therapist
  • Dixmont, ME
  • NPI 1629912837
  NPD Authorized official

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1932441904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MOUNTAIN MIST LN",
            "city": "DIXMONT",
            "state": "ME",
            "postal_code": "049323640",
            "telephone_number": "207-659-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MOUNTAIN MIST LN",
            "city": "DIXMONT",
            "state": "ME",
            "postal_code": "049323640",
            "telephone_number": "207-659-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "AMARIS",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-18",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT2712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMARIS",
            "last_name": "GOUDREAU",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura T. Bridgman, F.N.P., N.D.
• Community Ambulance Inc
• Carolyn R. Dodge, CADC
• Elera Health Maine
• Audrey Abigail Maddox-Cole
• Results Physical and Occupational Therapy
• Terri Lynn Von Oesen, RN
• Cathy A. White, COTA/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.