Provider Demographics
NPI:1134274988
Name:WHITNEY, KARLI ANN (OT)
Entity type:Individual
Prefix:
First Name:KARLI
Middle Name:ANN
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:KARLI
Other - Middle Name:ANN
Other - Last Name:OBERLERCHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 ROSE TERRACE CIR
Mailing Address - Street 2:
Mailing Address - City:ARUNDEL
Mailing Address - State:ME
Mailing Address - Zip Code:04046-7749
Mailing Address - Country:US
Mailing Address - Phone:207-829-8007
Mailing Address - Fax:207-829-8008
Practice Address - Street 1:50 DEPOT ROAD
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105
Practice Address - Country:US
Practice Address - Phone:207-781-8881
Practice Address - Fax:207-781-8855
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT1574225XP0200X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME254910099OtherPROVIDER #
ME254910099Medicaid