Wildworks Therapy, Pllc
Occupational Therapist (Pediatrics)

Address: 123 Mt Hope Ave, Bangor, ME 04401
Phone: 2073524000

Wildworks Therapy, Pllc (NPI# 1942853635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1942853635
Entity Type Organization
Practice Address 123 Mt Hope Ave
ME 04401
Practice Telephone 2073524000
Practice Fax Number 2078087259
Mailing Address 22 Parkway S
Po Box 3461
ME 04412
Mailing Telephone 2073524000
Mailing Fax Number 2078087259
Authorized Official Name Courtney G St Germain (OWNER/OCCUPATIONAL THERAPIST)
Authorized Official Telephone 2073524000
Authorized Official Credential OTR/L
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-07-22
Last Update Date 2019-07-22

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 225XP0200X Occupational Therapist · Pediatrics Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider/Organization Names

Other Name Type Code
Old Salt Pediatric Therapy, PLLC Former Legal Business Name - Organization

Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750745485 Monica Bradford Occupational Therapist 829 Union St, Bangor, ME 04401-3009 2016-04-08
1932539244 Shauna Renee Brimley-bergstrom Occupational Therapist 37 Pond St., Bangor, ME 04401 2013-11-22
1326257056 Therapyworks for Kids Occupational Therapist 39 Palomino Cir, Bangor, PA 18013-9517 2007-05-21
1134315849 Katherine M. Ferrara Occupational Therapist 39 Palomino Cir, Bangor, PA 18013-9517 2007-09-18
1356550099 Becky Lee Dancho Occupational Therapist 39 Palomino Cir, Bangor, PA 18013-9517 2007-05-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023629763 Kristy Lynn Moody Occupational Therapist 840 Kennedy Memorial Dr, Oakland, ME 04963-4887 2020-08-16
1932745411 Bridget Dionne Occupational Therapist 12 Shuman Ave Ste 6, Augusta, ME 04330-6020 2019-11-20
1528618261 Lauren Bartholomew Occupational Therapist 25 Reed Dr, Lincoln, ME 04457-1735 2019-09-15
1730733445 Madison Van Cleave Occupational Therapist 180 Mount Auburn Ave, Auburn, ME 04210-8565 2019-07-31
1467941443 Carolann Prescott Occupational Therapist 18 Ellingwood Dr, Newport, ME 04953-3384 2018-05-06
1376042804 Coastal Care Alliance Occupational Therapist 36 Wadleigh St Apt A, Parsonsfield, ME 04047-6269 2018-02-10
1396291878 Rae Lynn Stackpoole Occupational Therapist 518 Us Route 1 # 14&16, Kittery, ME 03904 2016-08-25
1972963338 Julie Ewald Occupational Therapist 7 Hawthorne Rd, Cape Elizabeth, ME 04107-5103 2016-02-28
1902265218 Suzanne Ciccomancini Occupational Therapist 80 Fall Brook St, Portland, ME 04103-4225 2016-02-15
1134538218 Madeline Elizabeth Kelley Occupational Therapist 219 Capitol St Ste 3, Augusta, ME 04330-6237 2014-08-04
Find all providers with the same taxonomy

Office Location

Street Address 123 MT HOPE AVE
State ME
Zip Code 04401

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184222523 Bj's Wholesale Club Inc. Eyewear Supplier 110 Longview Dr, Bangor, ME 04401 2020-10-16
1033737937 Daniel John Phulman Counselor 202 Exchange Street, Bangor, ME 04401 2020-07-08
1770104358 Elizabeth Sarah Caruson Physician Assistant 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 2020-05-05
1053961300 Erika Dean Occupational Therapist 84 Sylvan Rd., Bangor, ME 04401 2019-09-18
1255999173 Jessica Arbisi Physician Assistant 1 Northeast Drive, Bangor, ME 04401 2019-06-05
1699232041 Ehab Khamis Elhefnawi Anesthesiology Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 2019-02-21
1477028884 Zvorufura Makura Otolaryngology 885 Union Street, Ste 145, Bangor, ME 04401 2018-10-11
1255826541 Lindsey M Fields Optometrist 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 2018-06-28
1992211338 Debra J Mcintyre Counselor 157 Park Street, #5, Bangor, ME 04401 2017-12-21
1295258499 Paul Eyong Besong Student in an Organized Health Care Education/Training Program 750 Unoin Street, Bangor, ME 04401 2017-07-19
Find all providers in zip 04401


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Zip Code 04401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.