IndividualActive
Angela Mishou, COTA
NPI 1700667508 · Occupational Therapy Assistant · Ellsworth, ME
Provider details
- NPI number
- 1700667508
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- OA1162 (ME)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
42 Bucksport Rd
Ellsworth, ME 04605-2230
Phone: (207) 667-9036
Fax: (207) 667-7197
Street-level locationGet directions
Mailing address
37 Oak St
Old Town, ME 04468-1639
Registry dates
- Enumerated
- 2023-10-09
- Last updated
- 2023-10-09
- Certified
- 2023-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.