Active NPI
Regina Mae Lefauve, OTR/L
- Occupational Therapist
- Cornelius, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5366
- Practice address
- 19772 One Norman Blvd
Cornelius, NC 28031 - Phone
- (980) 306-5300
- NPI assigned
- Nov 30, 2005
- Last updated
- Aug 7, 2023
- 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 | 5366 | NC | Primary |
Addresses
Primary practice location
19772 One Norman Blvd
Cornelius, NC 28031
Mailing address
514 Williamson Rd
Suite 431
Mooresville, NC 28117-9225
Phone (704) 641-4461
Other practice location 1
514 Williamson Rd
Suite 431
Mooresville, NC 28117-9225
Phone (704) 641-4461
Other practice location 2
1035 Lincolnton Rd Ste A
Salisbury, NC 28144-6260
Phone (704) 603-1352
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2414673 | Other | UNITED HEALTHCARE | |
| D8766 | Other | MEDCOST | |
| 7379530 | Other | AETNA | |
| 1372T | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5366 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab North Carolina LLC | Current | Accepting new patients | |
| Ivyrehab North Carolina LLC | Hand | Current | Accepting new patients |
| Northeast Orthopedics PA | Occupational Therapist | Past | Accepting new patients |
Locations
9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
Interoperability endpoints
- rlefauve1150326@direct.novanthealth.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1629568647
Hand
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1528683935
-
- Orthopaedic Surgery Physician
- Concord, NC
- NPI 1114987476
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1689658916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 WILLIAMSON RD",
"address_2": "SUITE 431",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281179225",
"telephone_number": "704-641-4461",
"fax_number": "704-896-2686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19772 ONE NORMAN BLVD",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "28031",
"telephone_number": "980-306-5300"
}
],
"practiceLocations": [
{
"address_1": "514 Williamson Rd",
"address_2": "Suite 431",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281179225",
"country_code": "US",
"telephone_number": "704-641-4461",
"fax_number": "704-896-2686",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1035 Lincolnton Rd Ste A",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "NC",
"postal_code": "281446260",
"country_code": "US",
"telephone_number": "704-603-1352",
"fax_number": "704-603-1392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEFAUVE",
"first_name": "REGINA",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "5366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2414673",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "D8766",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7379530",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1372T",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.