True Potential OT LLC
Organization Active NPI Occupational Therapist · Veazie, ME
NPI 1982243275 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1982243275
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- Legal business name
- TRUE POTENTIAL OT LLC
- Practice address
- 1017 School St
Veazie, ME 04401-6983 - Phone
- (207) 316-3417
- NPI assigned
- Jan 3, 2020
- Organization subpart
- No
Authorized official
- Name
- Ashley Diane Philibert, OT
- Title
- Owner
- Phone
- (207) 316-3417
Practitioners 5
-
Ashley Philibert, OT
-
Kendra Elaine Johnston, MS, OTR/L
-
Katy Kolyer, MS, OTR/L
-
Christopher D Ouellette, DPT, ATC
-
Amelia Whalen, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210331000241 | ME | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5193132520 |
Receives reassigned benefits from 1 practitioner Practice locations: Hermon, ME |
National Provider Directory
Locations
1017 School St
Veazie, ME 04401
Phone (207) 316-3417
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | Yes |
Addresses
Primary practice location
1017 School St
Veazie, ME 04401-6983
Mailing address
2042 Spruce St
Hermon, ME 04401-0247
Phone (207) 316-3417
Other providers in Veazie, ME
- Caitlin Lynch
- Logan McCarthy
- Mindful Medicine, LLC
- Rachel Balaban Olmstead
- Tranquil Moments PA
- Ronald James Watson III
All providers in Veazie, ME · Occupational Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.