Matthew Leblanc, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1269 Issued in ND

Practice address

3810 Clairmont Rd
Bismarck, ND 58503-9084

Phone

(218) 280-0300

NPI assigned

Nov 7, 2013

Sex

Male

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

Enrolled in ND

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Rehab PLLCGroup PAC ID 4385013606, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mobile Rehab PLLC

  • Occupational Therapist
  • Bismark, ND
  • NPI 1568057917
  Medicare reassignment Care Compare group NPD Authorized official
• JMB Services Inc

  • Developmental Disabilities Clinic/Center
  • Bismarck, ND
  • NPI 1205293537
  NPD (past)

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1326477654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 CLAIRMONT RD",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585039084",
            "telephone_number": "218-280-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 CLAIRMONT RD",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585039084",
            "telephone_number": "218-280-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "MATTHEW",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-07",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "104428",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Leach
• Joann Marie Leahy, MD
• Michael E Lebeau, MD
• Ron Lebeau
• Courtney Leben-Perez
• Amanda D Leddige, AUD
• Charnelle V Ledoux
• Andrea Lee, LBSW
• Joon Kyu Lee, M.D.
• Korey Lee

• Occupational Therapist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Occupational Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.