Active NPI
Leah Micu
- Occupational Therapist
- Worcester, MA
National Provider Identifier
1710375449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10636
- Practice address
- 484 Main St
Worcester, MA 01608-1893 - Phone
- (800) 244-2756
- Fax
- (508) 831-9768
- NPI assigned
- Jan 5, 2015
- 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 | 10636 | MA | Primary |
Addresses
Primary practice location
484 Main St
Worcester, MA 01608-1893
Mailing address
559 E 4TH St
#3
Boston, MA 02127-3023
Phone (781) 864-0632
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 |
|---|---|---|---|
| 10636 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1710375449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 E 4TH ST",
"address_2": "#3",
"city": "BOSTON",
"state": "MA",
"postal_code": "021273023",
"telephone_number": "781-864-0632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 MAIN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081893",
"telephone_number": "800-244-2756",
"fax_number": "508-831-9768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICU",
"first_name": "LEAH",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-05",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "10636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.