Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anne-Marie Ruth Provencal, MSOTR

Individual provider Occupational Therapist · NPI 1265081905

Anne-Marie Ruth Provencal, MSOTR is an Occupational Therapist in Private Practice in Saco, Maine. Qualified in 2019, 7 years ago. Practices with Saco Bay Orthopaedic and Sports Physical Therapy Inc, a 138-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
7
Licensed in
ME
In the registry since
2019
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Practice location Address checks out

400 N St Ste 2
Saco, ME 04072-1867
Phone: (207) 282-7121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT4896 (ME)

Record details

NPI number1265081905
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTR
Sole proprietorNo
NPI enumeratedSeptember 5, 2019
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Saco Bay Orthopaedic And Sports Physical Therapy Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saco