Individual provider Active NPI

Patrick Henderson Lemieux

  • Occupational Therapist
  • Rocky Mount, NC
National Provider Identifier
1730776501
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
401368
Practice address
7369 Hunter Hill Rd
Rocky Mount, NC 27804-7954
Phone
(252) 443-0867
NPI assigned
Dec 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 308958 LA
Occupational Therapist 225X00000X 093013 IA
Occupational Therapist 225X00000X 242018 KY
Occupational Therapist 225X00000X OT-2161 NV
Occupational Therapist 225X00000X OTH-007672 AZ
Occupational Therapist 225X00000X 401368 OR
Occupational Therapist 225X00000X 12512 NC
Occupational Therapist 225X00000X 2428 NE
Occupational Therapist 225X00000X 163801 AK
Occupational Therapist 225X00000X 13737 MA
Occupational Therapist 225X00000X 401368 Primary

Addresses

Primary practice location

7369 Hunter Hill Rd
Rocky Mount, NC 27804-7954

Mailing address

968 Woodglen CT
Lexington, KY 40515-5098
Phone (859) 285-8653

Other practice location 1

1500 Avenue G
Ely, NV 89301-2598
Phone (775) 289-8801

Other practice location 2

475 High Hope Rd
Sulphur, LA 70663-0037
Phone (337) 527-8140

Other practice location 3

6161 Main St
Zachary, LA 70791-4034
Phone (225) 654-6893

Other practice location 4

1327 Kalakaket St
Fairbanks, AK 99709-4917
Phone (907) 452-4517

Other identifiers 11

IdentifierTypeStateIssuer
13737OtherMASTATE LICENSE
163801OtherAKSTATE LICENSE
401368OtherORSTATE LICENSE
093013OtherIASTATE LICENSE
OT-2161OtherNVSTATE LICENSE
2428OtherNESTATE LICENSE
242018OtherKYSTATE LICENSE
401368OtherNATIONAL BOARD OF CERTIFICATION FOR OCCUPATIONAL THERAPY
12512OtherNCSTATE LICENSE
308958OtherLASTATE LICENSE
OTH-007672OtherAZSTATE LICENSE

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

LicenseStateTypeSpecialty
13737MAMDGeneral Practice Dentistry
163801AKMDOccupational Therapist
OTH-007672AZMDOccupational Therapist
093013IAMDOccupational Therapist
242018KYMDOccupational Therapist
308958LAMDOccupational Therapist
12512NCMDOccupational Therapist
OT-2161NVMDOccupational Therapist
401368ORMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Talkabout Inc Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1730776501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 WOODGLEN CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405155098",
            "telephone_number": "859-285-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7369 HUNTER HILL RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278047954",
            "telephone_number": "252-443-0867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Avenue G",
            "address_purpose": "LOCATION",
            "city": "Ely",
            "state": "NV",
            "postal_code": "893012598",
            "country_code": "US",
            "telephone_number": "775-289-8801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 High Hope Rd",
            "address_purpose": "LOCATION",
            "city": "Sulphur",
            "state": "LA",
            "postal_code": "706630037",
            "country_code": "US",
            "telephone_number": "337-527-8140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6161 Main St",
            "address_purpose": "LOCATION",
            "city": "Zachary",
            "state": "LA",
            "postal_code": "707914034",
            "country_code": "US",
            "telephone_number": "225-654-6893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1327 Kalakaket St",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997094917",
            "country_code": "US",
            "telephone_number": "907-452-4517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMIEUX",
        "first_name": "PATRICK",
        "middle_name": "HENDERSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "308958",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "093013",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "242018",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-2161",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-007672",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "401368",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "12512",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2428",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "163801",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "13737",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "401368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "13737",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "163801",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "401368",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "093013",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OT-2161",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2428",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "242018",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD OF CERTIFICATION FOR OCCUPATIONAL THERAPY",
            "identifier": "401368",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "12512",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "308958",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OTH-007672",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.