Active NPI
Wiley B Macleod, MOTR/L
- Occupational Therapist
- Boothbay Harbor, ME
National Provider Identifier
1508629692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1844
- Practice address
- 6 Saint Andrews LN
Boothbay Harbor, ME 04538-1731 - Phone
- (207) 633-1893
- NPI assigned
- Feb 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT1844 | ME | Primary |
Addresses
Primary practice location
6 Saint Andrews LN
Boothbay Harbor, ME 04538-1731
Mailing address
6 Saint Andrews LN
Boothbay Harbor, ME 04538-1731
Phone (207) 633-1893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT1844 | ME | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1508629692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 SAINT ANDREWS LN",
"city": "BOOTHBAY HARBOR",
"state": "ME",
"postal_code": "045381731",
"telephone_number": "207-633-1893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 SAINT ANDREWS LN",
"city": "BOOTHBAY HARBOR",
"state": "ME",
"postal_code": "045381731",
"telephone_number": "207-633-1893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLEOD",
"first_name": "WILEY",
"middle_name": "B",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-01",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT1844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boothbay Harbor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.