Misti S. Leathers, M.S.,OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2967 Issued in ME

Practice address

28 Gilman Plaza
C/O Watch Me Shine, Inc.
Bangor, ME 04401

Phone

(207) 990-0162

Fax

(207) 990-0163

NPI assigned

Apr 1, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Watch Me Shine, Inc.

  • Early Intervention Provider Agency
  • Bangor, ME
  • NPI 1811124662
  NPD (past)

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1326433855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GILMAN PLAZA",
            "address_2": "C/O WATCH ME SHINE, INC.",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-990-0162",
            "fax_number": "207-990-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 GILMAN PLAZA",
            "address_2": "C/O WATCH ME SHINE, INC.",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-990-0162",
            "fax_number": "207-990-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERS",
        "first_name": "MISTI",
        "middle_name": "S.",
        "credential": "M.S.,OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT2967",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ME",
            "license": "OT2967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LCM Enterprises
• Brian Bao Le, CRNA
• My-Anh Rosalind Le, DO
• Lisa Lynn Leadbetter, LCPC
• Melissa Leary, ADCA
• Lily Brianna Leavitt
• Monica Leavitt, PT
• Jean Marie Lebel, OTL
• Chuck J Leblanc, DC
• Nicholas Leblanc, PHARMD

• Occupational Therapist in Bangor, ME
• Providers in Bangor, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.