NPIMap

Organization Active NPI

Southern Maine Pediatric Therapies

  • Early Intervention Provider Agency
  • Windham, ME
National Provider Identifier
1962891390
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
OT2888 Issued in ME
Legal business name
SOUTHERN MAINE PEDIATRIC THERAPIES
Practice address
57 Tandberg TRL
Windham, ME 04062-6425
Phone
(207) 233-7373
NPI assigned
Jan 22, 2015
Last updated
Jan 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Susanne Martorano, OTR/L
Title
Owner
Phone
(207) 233-7373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X OT2888 ME Primary

Addresses

Primary practice location

57 Tandberg TRL
Windham, ME 04062-6425

Mailing address

57 Tandberg TRL
Windham, ME 04062-6425
Phone (207) 233-7373

National Provider Directory

National Provider Directory
Tax ID family
Southern Maine Pediatric Therapies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1962891390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 TANDBERG TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040626425",
            "telephone_number": "207-233-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 TANDBERG TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040626425",
            "telephone_number": "207-233-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MAINE PEDIATRIC THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "MARTORANO",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-233-7373",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "ME",
            "license": "OT2888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.