Active NPIIndividual providerSole proprietor

Shane Ball, COTA

Occupational Therapy Assistant in Ellsworth, Maine

NPI Number1437715034
Practice location
190 Bangor RD, Ellsworth, ME 04605-3258
Fax
207-664-0461
Last updated
May 20, 2019

Shane Ball is an Occupational Therapy Assistant based in Ellsworth, ME. Shane Ball practices in Ellsworth, ME and has the professional credentials of COTA. The NPI Number for Shane Ball is 1437715034 and holds a License No. OA3627 (ME). The current practice location address for Shane Ball is 190 Bangor RD, Ellsworth, ME 04605-3258 and can be reached out via phone at 207-667-7108 and via fax at 207-664-0461.

Provider Profile Details

NPI Number
1437715034
Provider Name
Shane Ball
Credential
COTA
Provider Entity Type
Individual
Gender
Male
Address
190 Bangor RD, Ellsworth, ME 04605-3258
Phone Number
207-667-7108
Fax Number
207-664-0461
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 20, 2019
Last Update Date
May 20, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
190 Bangor RD
Ellsworth, ME 04605-3258
State
Maine
Zip
04605-3258
Phone Number
207-667-7108
Fax Number
207-664-0461
Ellsworth, ME 04605Get directions →

Provider Business Mailing Address Details

Address
190 Bangor RD
Ellsworth, ME 04605-3258
City
Ellsworth
State
ME
Zip
04605-3258
Phone Number
207-667-7108
Fax Number
207-664-0461

License Information

License Number
OA3627
License State
ME
Taxonomy
Occupational Therapy Assistant · 224Z00000X · 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 Shane Ball, COTA?

The NPI number of Shane Ball, COTA is 1437715034. It was assigned on May 20, 2019 and is currently active in the NPPES registry.

What is the specialty of Shane Ball, COTA?

Shane Ball, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in ME under license number OA3627.

Where does Shane Ball, COTA practice?

The practice location is 190 Bangor RD, Ellsworth, ME 04605-3258. The office can be reached at 207-667-7108 (phone) or 207-664-0461 (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 1437715034 directly on the NPPES registry website.

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