Mae Shell Jugalbot Lepasana, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2010035345 Issued in MO

Practice address

214 W 5TH St Ste D&E
Joplin, MO 64801-2598

Phone

(417) 782-2917

Fax

(417) 782-7038

NPI assigned

Apr 14, 2011

Last updated

Apr 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1669762381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W 5TH ST STE D&E",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012598",
            "telephone_number": "417-782-2917",
            "fax_number": "417-782-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W 5TH ST STE D&E",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012598",
            "telephone_number": "417-782-2917",
            "fax_number": "417-782-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPASANA",
        "first_name": "MAE SHELL",
        "middle_name": "JUGALBOT",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2010035345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colton Van Lehenbauer
• Lauryn Leininger
• Ricardo Lemus
• Paul Kent Leonard, DDS
• Melodi Lynn Lepage, MOT OTRL
• Gabriel Nicholas Lett, MA, LPC
• Lewis Optical, Inc
• James Michael Lewis, DDS
• Tyler Matthew Lewis
• Wendell Arden Lewis, D.D.S., M.S.D.

• Occupational Therapist in Joplin, MO
• Providers in Joplin, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.