Active NPIIndividual provider

Alicen M Johnson, OT

Occupational Therapist in South Portland, Maine

NPI Number1487010492
Practice location
236 Gannett Dr, South Portland, ME 04106-6913
Fax
207-761-0783
Last updated
January 6, 2016

Alicen Mary Johnson is an Occupational Therapist based in South Portland, ME. Alicen Mary Johnson practices in South Portland, ME and has the professional credentials of OT. The NPI Number for Alicen Mary Johnson is 1487010492 and holds a License No. OT3048 (ME). The current practice location address for Alicen Mary Johnson is 236 Gannett Dr, South Portland, ME 04106-6913 and can be reached out via phone at 207-661-3600 and via fax at 207-761-0783.

Provider Profile Details

NPI Number
1487010492
Provider Name
Alicen Mary Johnson
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
236 Gannett Dr, South Portland, ME 04106-6913
Phone Number
207-661-3600
Fax Number
207-761-0783
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
January 6, 2016
Last Update Date
January 6, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
236 Gannett Dr
South Portland, ME 04106-6913
State
Maine
Zip
04106-6913
Phone Number
207-661-3600
Fax Number
207-761-0783
South Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
78 Atlantic Pl
South Portland, ME 04106-2316
City
South Portland
State
ME
Zip
04106-2316
Phone Number
207-661-6654
Fax Number
207-842-7773

License Information

License Number
OT3048
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 Alicen M Johnson, OT?

The NPI number of Alicen M Johnson, OT is 1487010492. It was assigned on January 6, 2016 and is currently active in the NPPES registry.

What is the specialty of Alicen M Johnson, OT?

Alicen M Johnson, OT is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in ME under license number OT3048.

Where does Alicen M Johnson, OT practice?

The practice location is 236 Gannett Dr, South Portland, ME 04106-6913. The office can be reached at 207-661-3600 (phone) or 207-761-0783 (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 1487010492 directly on the NPPES registry website.

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