Active NPI
Leia Sturtevant, OTR/L
- Occupational Therapist
- Medford, MA
National Provider Identifier
1619317351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10833
- Practice address
- 12 Pearl St
Apt 1R
Medford, MA 02155-4548 - Phone
- (978) 888-1150
- NPI assigned
- Jun 26, 2013
- Last updated
- Jun 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 10833 | MA | Primary |
Addresses
Primary practice location
12 Pearl St
Apt 1R
Medford, MA 02155-4548
Mailing address
15 Shirley Way
Litchfield, NH 03052-2352
Phone (978) 888-1150
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372204800000",
"number": "1619317351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SHIRLEY WAY",
"city": "LITCHFIELD",
"state": "NH",
"postal_code": "030522352",
"telephone_number": "978-888-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 PEARL ST",
"address_2": "APT 1R",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021554548",
"telephone_number": "978-888-1150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURTEVANT",
"first_name": "LEIA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2013-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "10833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.