Alicia Marie Leblanc, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1987 Issued in CT

Practice address

66 Broad St
Westfield, MA 01085-2927

Phone

(413) 562-5464

NPI assigned

Jul 3, 2019

Last updated

Jul 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1275195893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CUSHMAN DR",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060422314",
            "telephone_number": "860-992-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BROAD ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010852927",
            "telephone_number": "413-562-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CT",
            "license": "1987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latitude Psychiatry, LLC
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• Dianne Lavoie, PA-C
• Elijah Ross Lawrence
• Jessica W Lawrence, LCSW
• Consuelo Ana Leblanc, MD
• Stephanie Lecrenski, M.A.
• Christine Ledoux
• Jarrod Ledvina
• Alison Stephanie Leecock, DMD

• Occupational Therapy Assistant in Westfield, MA
• Providers in Westfield, MA by specialty
• Occupational Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.