Active NPIIndividual provider

Alicia N Gardner, MOT, OTR/L

Occupational Therapist in Augusta, Maine

NPI Number1215434899
Practice location
12 Shuman Ave Ste 16, Augusta, ME 04330-6020
Fax
—
Last updated
April 10, 2018

Alicia Nicole Gardner is an Occupational Therapist based in Augusta, ME. Alicia Nicole Gardner practices in Augusta, ME and has the professional credentials of MOT, OTR/L. The NPI Number for Alicia Nicole Gardner is 1215434899 and holds a License No. OT3338 (ME). The current practice location address for Alicia Nicole Gardner is 12 Shuman Ave Ste 16, Augusta, ME 04330-6020 and can be reached out via phone at 207-623-3900.

Provider Profile Details

NPI Number
1215434899
Provider Name
Alicia Nicole Gardner
Credential
MOT, OTR/L
Provider Entity Type
Individual
Gender
Female
Address
12 Shuman Ave Ste 16, Augusta, ME 04330-6020
Phone Number
207-623-3900
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
April 10, 2018
Last Update Date
April 10, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Shuman Ave Ste 16
Augusta, ME 04330-6020
State
Maine
Zip
04330-6020
Phone Number
207-623-3900
Augusta, ME 04330Get directions →

Provider Business Mailing Address Details

Address
40 Dennett St
Portland, ME 04102-1532
City
Portland
State
ME
Zip
04102-1532
Phone Number
603-867-3910

License Information

License Number
OT3338
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.

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Frequently Asked Questions

What is the NPI number of Alicia N Gardner, MOT, OTR/L?

The NPI number of Alicia N Gardner, MOT, OTR/L is 1215434899. It was assigned on April 10, 2018 and is currently active in the NPPES registry.

What is the specialty of Alicia N Gardner, MOT, OTR/L?

Alicia N Gardner, MOT, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in ME under license number OT3338.

Where does Alicia N Gardner, MOT, OTR/L practice?

The practice location is 12 Shuman Ave Ste 16, Augusta, ME 04330-6020. The office can be reached at 207-623-3900 (phone).

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 1215434899 directly on the NPPES registry website.

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