Individual provider Active NPI

Julie Ewald, M.A./O.T.R.L.

  • Pediatric Occupational Therapist
  • Cape Elizabeth, ME
National Provider Identifier
1972963338
Registry record updated Feb 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT561 Issued in ME
Practice address
7 Hawthorne Rd
Cape Elizabeth, ME 04107-5103
Phone
(207) 767-3949
NPI assigned
Feb 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT561 ME Primary

Addresses

Primary practice location

7 Hawthorne Rd
Cape Elizabeth, ME 04107-5103

Mailing address

7 Hawthorne Rd
Cape Elizabeth, ME 04107-5103
Phone (207) 767-3949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
OT561MEMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1456617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456617600000",
    "number": "1972963338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HAWTHORNE RD",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041075103",
            "telephone_number": "207-767-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HAWTHORNE RD",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041075103",
            "telephone_number": "207-767-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWALD",
        "first_name": "JULIE",
        "credential": "M.A./O.T.R.L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-28",
        "last_updated": "2016-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ME",
            "license": "OT561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Elizabeth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2016; 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.