Individual provider Active NPI

Michael Lease

  • Occupational Therapist
  • New Bern, NC
National Provider Identifier
1720519408
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13622 Issued in NC
Practice address
1423 S Glenburnie Rd Ste B
New Bern, NC 28562-2603
Phone
(252) 772-3923
NPI assigned
Mar 23, 2017
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Driving and Community Mobility Occupational Therapist 225XR0403X
Physical Rehabilitation Occupational Therapist 225XP0019X
Hand Occupational Therapist 225XH1200X
Environmental Modification Occupational Therapist 225XE0001X
Ergonomics Occupational Therapist 225XE1200X
Neurorehabilitation Occupational Therapist 225XN1300X
Occupational Therapist 225X00000X 13622 NC Primary

Addresses

Primary practice location

1423 S Glenburnie Rd Ste B
New Bern, NC 28562-2603

Mailing address

3537 M L King Jr Blvd # 287
New Bern, NC 28562-2209

Other practice location 1

790 Cardinal Rd
New Bern, NC 28562-1130
Phone (252) 772-3923

Other practice location 2

3280 Wellons Blvd
New Bern, NC 28562-5234
Phone (252) 772-3923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210713002193 NC Practitioner - Occupational Therapist in Private Practice 0749682912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3280 Wellons Blvd
New Bern, NC 28562-5234
Phone (252) 772-3923

3537 M L King Jr Blvd
Suite 287
New Bern, NC 28562-2209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13622NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Therapy Solutions PLLC Occupational Therapist CurrentSince May 17, 2021 Accepting new patients
Coles Chiropractic Center, PLLC PastSince Jun 1, 2021 Accepting new patients

Locations

1423 S Glenburnie Rd
#B
New Bern, NC 28562
Phone (252) 772-3923

218C S Front St
New Bern, NC 28560
Phone (252) 514-0092

3280 Wellons Blvd
New Bern, NC 28562
Phone (252) 669-0009

3537 Martin Luther King Jr Blvd
New Bern, NC 28562
Phone (252) 505-8150

790 Cardinal Rd
New Bern, NC 28562
Phone (252) 259-5419

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1720519408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 M L KING JR BLVD # 287",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 S GLENBURNIE RD STE B",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622603",
            "telephone_number": "252-772-3923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 Cardinal Rd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285621130",
            "country_code": "US",
            "telephone_number": "252-772-3923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3280 Wellons Blvd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285625234",
            "country_code": "US",
            "telephone_number": "252-772-3923",
            "fax_number": "910-726-3678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEASE",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "13622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.