MARY ELIZABETH WAGSTAFF


Address: Seaport Village Healthcare, 19 General Moore Way, Ellsworth, ME 04605
Phone: 2076679336

MARY ELIZABETH WAGSTAFF (NPI# 1760940464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760940464
Entity Type Individual
Full Name MARY ELIZABETH WAGSTAFF
Credential OTR/L
Practice Address Seaport Village Healthcare
19 General Moore Way
Ellsworth
ME 04605
Mailing Address 35 Upland Way
Ellsworth
ME 04605-3475
Practice Telephone 2076679336
Mailing Telephone 2072664396
Enumeration Date 2019-03-12
Last Update Date 2020-04-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XG0600X Occupational Therapist
Specialization: Gerontology
OT955 ME Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
587 N Deer Isle Rd, Deer Isle, ME 046273438 8553907774

Office Location

Street Address SEAPORT VILLAGE HEALTHCARE
19 GENERAL MOORE WAY
City ELLSWORTH
State ME
Zip Code 04605

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1992144794 Kenneth L Senter Family Medicine 248 State St., Ellsworth Free Medical Clinic, Ellsworth, ME 04605 2013-06-14
1639465248 Lynne Marie Betz Dental Hygienist 52 Christian Ridge Road, Ellsworth, ME 04605 2011-06-22
1215238431 Kimberly Ann Burgess Social Worker 23 Carriage Way, Ellsworth, ME 04605 2010-11-04
1962713115 Springy Pond Farm Voluntary or Charitable 562 Springy Pond Rd., Otis, ME 04605 2010-06-23
1851629851 Astor Charlene Gillis Counselor 59 Franklin St., Suite B, Ellsworth, ME 04605 2009-12-02
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Taxonomy Information

Taxonomy Code 225XG0600X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Gerontology

Taxonomy Definition

Occupational therapists work with older adults in virtually every setting: assisted living, wellness programs, hospitals, nursing homes, senior centers, clinics and in the home. Occupational therapists bring an understanding of the importance of participation and occupation for overall well-being to those who are experiencing disabling conditions related to aging. The primary overarching goal of occupational therapy services with this population is to maximize independence and participation, thereby enabling an older person to continue to live successfully in his or her chosen environment. Occupational therapists can help older adults by developing strategies to help or maintain safety and well-being, to assist with life transitions, and to compensate for challenges they experience in activities of daily living, instrumental activities of daily living, leisure participation, social participation, and productive activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Gerontology Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Fact Sheets: Senior Center and Assisted Living Facilities

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053766881 Brittany Alley Occupational Therapist 19 General Moore Way, Ellsworth, ME 04605-1860 2016-04-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790322022 A Mindful Eye LLC Occupational Therapist 15 Chick Drive, Monmouth, ME 04259 2019-12-05
1477984755 Jamey Roy Cotnoir Occupational Therapist 15 Chick Dr., Monmouth, ME 04259 2013-12-11
1508193830 Kelly A Nesbitt Occupational Therapist 383 Us Route 1 Ste 4, Scarborough, ME 04074-9843 2009-11-06
1932684800 Michael Howard Oken Occupational Therapist 440 Minot Ave, Auburn, ME 04210-4332 2018-09-26
1811479116 Patricia Dolan Occupational Therapist 47 Elm St, North Berwick, ME 03906-6724 2018-09-04
1912492182 Hailey Rae Smith Occupational Therapist 64 Park St, Dexter, ME 04930-1470 2018-06-28
1083111488 Mariah Merrill Arno Occupational Therapist 2 Davis Point Ln Unit 1a, Cape Elizabeth, ME 04107-2628 2018-04-11
1770094534 Kim Herrmann Occupational Therapist 191 Foreside Rd, Falmouth, ME 04105-1768 2017-10-19
1639625379 Kelsi Gagne Occupational Therapist 300 Spring Street, Westbrook, ME 04092 2016-09-01
1104125012 Erin Shaw-nkurunziza Occupational Therapist 2 Davis Point Ln, Suite 1a, Cape Elizabeth, ME 04107-2620 2011-03-17
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City ELLSWORTH
Zip Code 04605

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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