WILDWORKS THERAPY, PLLC (NPI# 1942853635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942853635 |
Entity Type | Organization |
Organization Name | WILDWORKS THERAPY, PLLC |
Practice Address |
123 Mt Hope Ave Bangor ME 04401 |
Mailing Address |
22 Parkway S Po Box 3461 Brewer ME 04412 |
Practice Telephone | 2073524000 |
Practice Fax Number | 2078087259 |
Mailing Telephone | 2073524000 |
Mailing Fax Number | 2078087259 |
Enumeration Date | 2019-07-22 |
Last Update Date | 2019-07-22 |
Authorized Official Name | COURTNEY G ST GERMAIN (OWNER/OCCUPATIONAL THERAPIST) |
Authorized Official Telephone | 2073524000 |
Authorized Official Credential | OTR/L |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Other Name | Type Code |
---|---|
Old Salt Pediatric Therapy, PLLC | Former Legal Business Name - Organization |
Street Address |
123 MT HOPE AVE |
City | BANGOR |
State | ME |
Zip Code | 04401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
1295258499 | Paul Eyong Besong | Student in an Organized Health Care Education/Training Program | 750 Unoin Street, Bangor, ME 04401 | 2017-07-19 |
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Taxonomy Code | 225XP0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Pediatrics |
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily 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 Pediatric Occupational Therapist if the applicant meets the following requirements:
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750745485 | Monica Bradford | Occupational Therapist | 829 Union St, Bangor, ME 04401-3009 | 2016-04-08 |
1932539244 | Shauna Renee Brimley-bergstrom | Occupational Therapist | 37 Pond St., Bangor, ME 04401 | 2013-11-22 |
1326257056 | Therapyworks for Kids | Occupational Therapist | 39 Palomino Cir, Bangor, PA 18013-9517 | 2007-05-21 |
1134315849 | Katherine M. Ferrara | Occupational Therapist | 39 Palomino Cir, Bangor, PA 18013-9517 | 2007-09-18 |
1356550099 | Becky Lee Dancho | Occupational Therapist | 39 Palomino Cir, Bangor, PA 18013-9517 | 2007-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023629763 | Kristy Lynn Moody | Occupational Therapist | 840 Kennedy Memorial Dr, Oakland, ME 04963-4887 | 2020-08-16 |
1932745411 | Bridget Dionne | Occupational Therapist | 12 Shuman Ave Ste 6, Augusta, ME 04330-6020 | 2019-11-20 |
1528618261 | Lauren Bartholomew | Occupational Therapist | 25 Reed Dr, Lincoln, ME 04457-1735 | 2019-09-15 |
1730733445 | Madison Van Cleave | Occupational Therapist | 180 Mount Auburn Ave, Auburn, ME 04210-8565 | 2019-07-31 |
1467941443 | Carolann Prescott | Occupational Therapist | 18 Ellingwood Dr, Newport, ME 04953-3384 | 2018-05-06 |
1376042804 | Coastal Care Alliance | Occupational Therapist | 36 Wadleigh St Apt A, Parsonsfield, ME 04047-6269 | 2018-02-10 |
1396291878 | Rae Lynn Stackpoole | Occupational Therapist | 518 Us Route 1 # 14&16, Kittery, ME 03904 | 2016-08-25 |
1972963338 | Julie Ewald | Occupational Therapist | 7 Hawthorne Rd, Cape Elizabeth, ME 04107-5103 | 2016-02-28 |
1902265218 | Suzanne Ciccomancini | Occupational Therapist | 80 Fall Brook St, Portland, ME 04103-4225 | 2016-02-15 |
1134538218 | Madeline Elizabeth Kelley | Occupational Therapist | 219 Capitol St Ste 3, Augusta, ME 04330-6237 | 2014-08-04 |
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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.