Active NPIIndividual providerSole proprietor

Brian Witherell, COTA/L

Occupational Therapy Assistant in Lewiston, Maine

NPI Number1922535624
Practice location
15 Strawberry Ave, Lewiston, ME 04240-5941
Fax
—
Last updated
October 20, 2023

Brian Witherell is an Occupational Therapy Assistant based in Lewiston, ME. Brian Witherell practices in Lewiston, ME and has the professional credentials of COTA/L. The NPI Number for Brian Witherell is 1922535624 and holds a License No. OP008369 (PA). The current practice location address for Brian Witherell is 15 Strawberry Ave, Lewiston, ME 04240-5941 and can be reached out via phone at 207-777-7740.

Provider Profile Details

NPI Number
1922535624
Provider Name
Brian Witherell
Credential
COTA/L
Provider Entity Type
Individual
Gender
Male
Address
15 Strawberry Ave, Lewiston, ME 04240-5941
Phone Number
207-777-7740
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 12, 2017
Last Update Date
October 20, 2023
Certification Date
October 18, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Strawberry Ave
Lewiston, ME 04240-5941
State
Maine
Zip
04240-5941
Phone Number
207-777-7740
Lewiston, ME 04240Get directions →

Provider Business Mailing Address Details

Address
40 Elm St
Jay, ME 04239-1735
City
Jay
State
ME
Zip
04239-1735
Phone Number
681-209-4285

License Information

License Number (1)
OP008369
License State (1)
PA
Taxonomy (1)
Occupational Therapy Assistant · 224Z00000X
License Number (2)
C2059
License State (2)
WV
Taxonomy (2)
Occupational Therapy Assistant · 224Z00000X
License Number (3)
OA4088
License State (3)
ME
Taxonomy (3)
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 Brian Witherell, COTA/L?

The NPI number of Brian Witherell, COTA/L is 1922535624. It was assigned on May 12, 2017 and is currently active in the NPPES registry.

What is the specialty of Brian Witherell, COTA/L?

Brian Witherell, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in PA under license number OP008369.

Where does Brian Witherell, COTA/L practice?

The practice location is 15 Strawberry Ave, Lewiston, ME 04240-5941. The office can be reached at 207-777-7740 (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 1922535624 directly on the NPPES registry website.

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