Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Polyxenia J Pantos, OTD

Individual provider Occupational Therapist · NPI 1619633401

Dr. Polyxenia J Pantos, OTD is an Occupational Therapist in South Portland, Maine. Practices as a sole proprietor. Licensed in Massachusetts and Maine.

Licensed in
MA, ME
In the registry since
2021
Specialties on file
3
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

32 Hall St
South Portland, ME 04106-3315
Phone: (617) 435-0744
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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 OT4102 (ME)
Occupational Therapist Taxonomy 225X00000X · Licence 13707 (MA)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence OT4102 (ME)

Record details

NPI number1619633401
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials OTD
Sole proprietorYes
NPI enumeratedNovember 16, 2021
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

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