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

Mary Elizabeth Wagstaff, OTR/L

Individual provider Gerontology Occupational Therapist · NPI 1760940464

Mary Elizabeth Wagstaff, OTR/L is a Gerontology Occupational Therapist in Ellsworth, Maine. Works from 2 locations. Licensed in Maine.

Licensed in
ME
In the registry since
2019
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Seaport Village Healthcare 19 General Moore Way
Ellsworth, ME 04605
Phone: (207) 667-9336
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 587 N Deer Isle Rd, Deer Isle, ME 04627-3438 — (855) 390-7774

Specialties & licences

Gerontology Occupational Therapist (primary) Taxonomy 225XG0600X · Licence OT955 (ME)

Record details

NPI number1760940464
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 12, 2019
Last updated in NPPESApril 16, 2020
Certification dateApril 16, 2020