Kayli-Susan Marean Leavitt

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT4264 Issued in ME

Practice address

601 College St
Lewiston, ME 04240-2424

Phone

(207) 795-4195

NPI assigned

Apr 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1831833656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872",
            "city": "STANDISH",
            "state": "ME",
            "postal_code": "040840872",
            "telephone_number": "207-671-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 COLLEGE ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042402424",
            "telephone_number": "207-795-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "KAYLI-SUSAN",
        "middle_name": "MAREAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT4264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OT4264",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kayli.leavitt@maine.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "601 College St",
            "city": "Lewiston",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042402424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittany Lynn Lavoie, LMSW-CC
• Christina Marie Lavoie, FNP-C
• Patrick Lawrence, M.D.
• Christopher Trithien Le
• Rebekah Lear-Pendleton
• Desirae Anne Leblanc, MSOT, OTR/L
• Veda Leclerc
• Victor R. Leclerc, LCSW
• Curran J Lecomte, PMHNP-BC
• Mary E Leconey, OT

• Occupational Therapist in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.