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

Michael Severance, OTR/L

Individual provider Occupational Therapist · NPI 1164208427

Michael Severance, OTR/L is an Occupational Therapist in Bangor, Maine. Licensed in Maine. Registered with an NPI since 2023.

Licensed in
ME
In the registry since
2023
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

758 Broadway
Bangor, ME 04401-3224
Phone: (207) 941-8400
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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 OT4522 (ME)

Record details

NPI number1164208427
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedSeptember 4, 2023
Last updated in NPPESSeptember 4, 2023
Certification dateSeptember 2, 2023
Mailing address3875 Union St Apt C, Levant, ME 04456-4499

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