Lauren Iva-Bennett Wilson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3816

Practice address

175 Portland Rd
Bridgton, ME 04009-4254

Phone

(207) 777-7740

NPI assigned

Nov 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Androscoggin Home Health Services, Inc

  • Internal Medicine Physician
  • Lewiston, ME
  • NPI 1013957687
  NPD
• Androscoggin Home Health Services, Inc.

  • Mental Health Counselor
  • Lewiston, ME
  • NPI 1558303776
  NPD
• Androscoggin Home Health Services, Inc.

  • Developmental Therapist
  • Lewiston, ME
  • NPI 1962646844

  Occupational Therapist

  NPD
• Androscoggin Home Health Services, Inc.

  • Occupational Therapist
  • Lewiston, ME
  • NPI 1518573666
  NPD (past)

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1982207775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 VERNON ST",
            "city": "BETHEL",
            "state": "ME",
            "postal_code": "042177006",
            "telephone_number": "207-754-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 PORTLAND RD",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040094254",
            "telephone_number": "207-777-7740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Providence Ave",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "NH",
            "postal_code": "035703130",
            "country_code": "US",
            "telephone_number": "603-752-1820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LAUREN",
        "middle_name": "IVA-BENNETT",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "OT3816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Walker, LCSW
• Christine Warrick, FNP
• Madeline Welch
• Ronald Welch, PA
• Wild North Counseling LLC
• Woodlands Senior Living of Bridgton
• Ty Gabriel Wyman

• Occupational Therapist in Bridgton, ME
• Providers in Bridgton, 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 5, 2024; 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.