Active NPI
Denise Regina Leathers, OT
- Occupational Therapy Assistant
- Plaistow, NH
National Provider Identifier
1669593455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0A936
- Practice address
- 91 Main St
Plaistow, NH 03865-3012 - Phone
- (603) 382-3031
- NPI assigned
- Apr 2, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0A936 | ME | Primary |
| Occupational Therapy Assistant | 224Z00000X | 1442 | MA | |
| Occupational Therapist | 225X00000X | 2066 | NH |
Addresses
Primary practice location
91 Main St
Plaistow, NH 03865-3012
Mailing address
1776 State Rd
Eliot, ME 03903-1087
Phone (207) 451-9120
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0A936 | Other | ME | COTA |
| 1442 | Other | MA | COTA |
| 2066 | Other | NH | NEW HAMPSHIRE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0A936 | ME | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Therapy Outpatient Services of Me, LLC | Occupational Therapist | Current | Accepting new patients |
| Preferred Therapy Outpatient Services of Me, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
850 Silas Deane Hwy
Fl 2
Wethersfield, CT 06109
Phone (860) 610-0400
30 Community Dr
Camden, ME 04843
Phone (207) 230-6100
Organizations & group practices 2
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.
-
- Physical Therapist
- Brunswick, ME
- NPI 1043973589
Occupational Therapist
-
- Physical Therapist
- Camden, ME
- NPI 1164285581
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248048000000",
"number": "1669593455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 STATE RD",
"city": "ELIOT",
"state": "ME",
"postal_code": "039031087",
"telephone_number": "207-451-9120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 MAIN ST",
"city": "PLAISTOW",
"state": "NH",
"postal_code": "038653012",
"telephone_number": "603-382-3031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEATHERS",
"first_name": "DENISE",
"middle_name": "REGINA",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2009-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "ME",
"license": "0A936",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MA",
"license": "1442",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "2066",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COTA",
"identifier": "0A936",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COTA",
"identifier": "1442",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW HAMPSHIRE",
"identifier": "2066",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plaistow, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.