MARY R DRAKE (OT) – Occupational Therapist, NPI 1518038645

MARY R DRAKE (OT) is a healthcare provider. based in South portland, Maine. specializing in Occupational Therapist. They hold the professional credentials OT. They hold a License No. OT3937 (ME). The NPI Number for MARY R DRAKE (OT) is 1518038645

Main info

Female
45 Years Of Experience
Accepts Medicare Assignment
Name
MARY R DRAKE (OT)
NPI
1518038645
Phone
(207) 773-0040
Address
119 GANNETT DR
Enumeration Date
12 November 2006
Last Update Date
5 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8605493210
Graduation Year
1981 (45 years ago)
PAC ID
4486920238
Group Practice PAC ID
1850382409
Professional Enrollment ID
I20171023000521
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for MARY R DRAKE (OT)

  • 119 GANNETT DR

    SOUTH PORTLAND, ME 041066942

    Phone: (207) 773-0040

    Fax: (207) 661-8030

    Type: Mailing

  • 2900, Main Street, Stratford, Fairfield County, Connecticut, 06614, United States

    SUITE 1D

    STRATFORD, CT 066144946

    Phone:

    Type: Mailing

  • 728, Post Road East, Westport, Fairfield County, Connecticut, 06880, United States

    WESTPORT, CT 068805200

    Phone: (203) 341-0488

    Fax: (203) 227-8809

    Type: Location

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: 2022-01-28

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
I20220128001659IOccupational 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04106)

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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: 1850382409View full group profile
NameSpecialtyState
-CT
-CT
Orthopedic SurgeryMA
Physical Medicine And RehabilitationCT
Nurse PractitionerCT
Physical Therapist In Private PracticeMA
Orthopedic SurgeryCT
-CT
Pain Management, Physical Medicine And RehabilitationDC
Orthopedic SurgeryCT

Reviews

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Frequently asked questions

Does MARY R DRAKE (OT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARY R DRAKE (OT) uses 1518038645.
Is MARY R DRAKE (OT) still practicing?
MARY R DRAKE (OT) is currently listed as active in the public NPI registry.
What taxonomy line describes MARY R DRAKE (OT)?
For research purposes, treat MARY R DRAKE (OT) as Occupational Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Does MARY R DRAKE (OT) list a practice location?
Patients near South Portland, Maine may find MARY R DRAKE (OT) in results; validate coverage separately.
Is the information about MARY R DRAKE (OT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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