Active NPIIndividual provider

Carolyn A Wilson, OTR/L

Occupational Therapist in South Portland, Maine

NPI Number1174415061
Practice location
119 Gannett Dr, South Portland, ME 04106-6942
Fax
207-661-4630
Last updated
October 28, 2025

Carolyn Anne Wilson is an Occupational Therapist based in South Portland, ME. Carolyn Anne Wilson practices in South Portland, ME and has the professional credentials of OTR/L. The NPI Number for Carolyn Anne Wilson is 1174415061 and holds a License No. OT4846 (ME). The current practice location address for Carolyn Anne Wilson is 119 Gannett Dr, South Portland, ME 04106-6942 and can be reached out via phone at 207-773-0040 and via fax at 207-661-4630.

Provider Profile Details

NPI Number
1174415061
Provider Name
Carolyn Anne Wilson
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
119 Gannett Dr, South Portland, ME 04106-6942
Phone Number
207-773-0040
Fax Number
207-661-4630
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
July 16, 2025
Last Update Date
October 28, 2025
Certification Date
October 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
119 Gannett Dr
South Portland, ME 04106-6942
State
Maine
Zip
04106-6942
Phone Number
207-773-0040
Fax Number
207-661-4630
South Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
119 Gannett Dr
South Portland, ME 04106-6942
City
South Portland
State
ME
Zip
04106-6942
Phone Number
207-773-0040
Fax Number
207-661-4630

License Information

License Number
OT4846
License State
ME
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Occupational Therapists near South Portland, ME

View all Occupational Therapists in South Portland →

Frequently Asked Questions

What is the NPI number of Carolyn A Wilson, OTR/L?

The NPI number of Carolyn A Wilson, OTR/L is 1174415061. It was assigned on July 16, 2025 and is currently active in the NPPES registry.

What is the specialty of Carolyn A Wilson, OTR/L?

Carolyn A Wilson, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in ME under license number OT4846.

Where does Carolyn A Wilson, OTR/L practice?

The practice location is 119 Gannett Dr, South Portland, ME 04106-6942. The office can be reached at 207-773-0040 (phone) or 207-661-4630 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174415061 directly on the NPPES registry website.

Browse related providers