ALICE L VANDERWERKEN (OT) – Hand Occupational Therapist, NPI 1124542428

ALICE L VANDERWERKEN (OT) is a healthcare provider. based in Farmington, Maine. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. OT74 (ME). The NPI Number for ALICE L VANDERWERKEN (OT) is 1124542428

Main info

Female
45 Years Of Experience
Accepts Medicare Assignment
Name
ALICE L VANDERWERKEN (OT)
NPI
1124542428
Phone
(207) 778-6469
Address
128 MIDDLE ST
Enumeration Date
28 July 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2077786469
Graduation Year
1981 (45 years ago)
PAC ID
9739451618
Group Practice PAC ID
5597179762
Professional Enrollment ID
I20170828002927
Address ID
ME049386937FA128XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

136 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in ME

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Provider Addresses for ALICE L VANDERWERKEN (OT)

  • 128, Middle Street, Farmington, Franklin County, Maine, 04938, United States

    FARMINGTON, ME 049386937

    Phone: (207) 778-6469

    Fax: (207) 778-3486

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170828002927IOccupational Therapist In Private PracticeMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes9814$0
View full utilization report →

Insurance plans in this area (ZIP 04938)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597179762View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

Is there an official ID for ALICE L VANDERWERKEN (OT) in U.S. healthcare records?
The official identifier for ALICE L VANDERWERKEN (OT) is NPI 1124542428.
Is there an active status for ALICE L VANDERWERKEN (OT)?
For scheduling context, ALICE L VANDERWERKEN (OT) is shown as active in the registry.
What kind of doctor is ALICE L VANDERWERKEN (OT)?
ALICE L VANDERWERKEN (OT) is associated with Hand Occupational Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is ALICE L VANDERWERKEN (OT) located near Farmington?
ALICE L VANDERWERKEN (OT) currently maps to Farmington, Maine in this extract.
Can I trust this NPI listing for ALICE L VANDERWERKEN (OT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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