✓ Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) (225X00000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

PAUL SCOTT ABBEY, MOT, OTR/L (NPI #1013434489)

Occupational Therapist • PORTLAND, ME • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1013434489
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
225X00000X (CMS 67)
Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)
Box 32 Service Location & ZIP+4
33 SEWALL ST, PORTLAND, ME, 04102-2603
✓ 9-Digit EDI 837 ZIP+4 (04102-2603)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1013434489 (PAUL SCOTT ABBEY, MOT, OTR/L) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1013434489)

Medicare Beneficiaries
15
Total Billed Services
493
Distinct CPT/HCPCS Codes
8
Medicare Allowed Total
$11,426.82

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes161
97140 Therapy procedure using manual technique, each 15 minutes174
97165 Evaluation for occupational therapy, typically 30 minutes15

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1013434489 (NPI-1 Individual Practitioner)
Provider / Legal NamePAUL SCOTT ABBEY, MOT, OTR/L
Plain-English SpecialtyBoard-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)
NUCC Code: 225X00000X (Occupational Therapist)
Certifying / Licensing BodyNational Board for Certification in Occupational Therapy (NBCOT)
Practice Location Address33 SEWALL ST, PORTLAND, ME, 04102-2603
Practice Telephone / FaxTel: (207) 828-2121
Administrative Mailing Address324 GANNETT DR STE 200, SOUTH PORTLAND, ME, 04106-3266
Enumeration & Last SyncEnumerated: 2017-08-27 | CMS Record Updated: 2021-09-07

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

33 SEWALL ST, PORTLAND, ME, 04102-2603

🗺️ Open in Google Maps 🏥 More Providers in PORTLAND

Plain-English Taxonomy & CMS Crosswalk (225X00000X)

What Does Taxonomy Code 225X00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225X00000X translates to:
"Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 67 (Occupational Therapist in Private Practice)
Certifying / Accrediting Authority: National Board for Certification in Occupational Therapy (NBCOT)
Clinical Scope: Regaining hand function, fine motor skills, and independent daily living after stroke, hand injury, or pediatric developmental delay.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PAUL SCOTT ABBEY, MOT, OTR/L)

Typical CPT / Diagnostic Procedures:
  • Activities of Daily Living (ADL) & Neuromuscular Re-Education (CPT 97530–97535)
  • Upper Extremity Hand Therapy, Custom Splinting & Home Safety Ergonomics
Common Therapeutic Classes:
  • Non-Pharmacological Functional & Sensory-Motor Rehabilitation Protocols

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
225X00000X — Occupational Therapist
Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)
State: ME | License: OT3346 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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