CAROLYN ANNE WILSON OTR/L
NPI 1174415061
Occupational Therapist in South Portland, ME

Active since July 16, 2025Accepts Medicare Assignment
119 GANNETT DR, SOUTH PORTLAND, ME 04106(207) 773-0040(207) 661-4630 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolyn Anne Wilson Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN ANNE WILSON OTR/L (NPI 1174415061) is an individual occupational therapist in South Portland, Maine, licensed in Maine (OT4846) and active in the NPI registry since July 2025. She maintains 2 additional practice locations and is a graduate of Other (2025).

NPPES Registry Identity

NPI1174415061
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameCAROLYN ANNE WILSONCredential: OTR/L
Location Address119 GANNETT DRSouth Portland, ME 04106-6942
Mailing Address119 Gannett DrSouth Portland, ME 04106-6942 · (207) 773-0040 · Fax (207) 661-4630
Fax(207) 661-4630
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 16, 2025
Last NPPES UpdateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
NPI 1174415061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in ME · OT4846
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
119 GANNETT DR, South Portland, ME 04106

Secondary Practice Locations 2

Location 1584 Roosevelt Trl Unit 2Windham, ME 04062-4983 · Phone (207) 661-2828 · Fax (207) 661-2854
Location 2114 Maine St Ste 4Brunswick, ME 04011-2029 · Phone (207) 607-5800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carolyn Anne Wilson Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729582325
PECOS Enrollment IDI20250917002092

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Physician Assistant (Surgical)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Physical Therapist
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Specialist/Technologist (Athletic Trainer)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Specialist/Technologist (Athletic Trainer)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Internal Medicine (Cardiovascular Disease)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Physician Assistant (Surgical)
119 GANNETT DR
SOUTH PORTLAND, ME 04106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Wilson's NPI number?

The NPI number for Carolyn Wilson is 1174415061. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Where is Carolyn Wilson located?

Carolyn Wilson practices at 119 Gannett Dr, South Portland, ME 04106. The listed phone number is (207) 773-0040.

What is Carolyn Wilson's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Carolyn Wilson enrolled in Medicare?

Yes. Carolyn Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Carolyn Wilson was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.