Active NPI
Kimberly WS Welikadage, OTR/L
- Occupational Therapist
- Lincoln, ME
National Provider Identifier
1992288500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2627
- Practice address
- 36 Workman Ter
Lincoln, ME 04457-1162 - Phone
- (207) 794-6534
- NPI assigned
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT2627 | ME | Primary |
Addresses
Primary practice location
36 Workman Ter
Lincoln, ME 04457-1162
Mailing address
4518 Bennoch Rd
Alton, ME 04468-4017
Phone (207) 939-6150
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT2627 | ME | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colonial Healthcare | Past | Accepting new patients | |
| Colonial Healthcare | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Assisted Living Facility
- Lincoln, ME
- NPI 1326273418
-
- Assisted Living Facility
- Lincoln, ME
- NPI 1710977236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1992288500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4518 BENNOCH RD",
"city": "ALTON",
"state": "ME",
"postal_code": "044684017",
"telephone_number": "207-939-6150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 WORKMAN TER",
"city": "LINCOLN",
"state": "ME",
"postal_code": "044571162",
"telephone_number": "207-794-6534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELIKADAGE",
"first_name": "KIMBERLY",
"middle_name": "WS",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT2627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.