Active NPI
Clarence Leboeuf
- Occupational Therapist
- Bangor, ME
National Provider Identifier
1821877093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- TO4817
- Practice address
- 656 State St
Bangor, ME 04401-5609 - Phone
- (207) 941-4000
- NPI assigned
- Sep 26, 2023
- Sex
- Male
- 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 | TO4817 | ME | Primary |
Addresses
Primary practice location
656 State St
Bangor, ME 04401-5609
Mailing address
PO Box 741
Howland, ME 04448-0741
Phone (508) 827-6880
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 |
|---|---|---|---|
| TO4817 | ME | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1821877093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741",
"city": "HOWLAND",
"state": "ME",
"postal_code": "044480741",
"telephone_number": "508-827-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "656 STATE ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044015609",
"telephone_number": "207-941-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBOEUF",
"first_name": "CLARENCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-26",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "TO4817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.