Active NPI
Lisa Anne Legare, OTR/L
- Occupational Therapist
- Portland, ME
National Provider Identifier
1841885878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT4047
- Practice address
- 1011 Forest Ave
Portland, ME 04103-3304 - Phone
- (207) 781-8881
- NPI assigned
- Mar 2, 2021
- Sex
- Female
- 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 | OT4047 | ME | Primary |
Addresses
Primary practice location
1011 Forest Ave
Portland, ME 04103-3304
Mailing address
12 Pleasant St
Brunswick, ME 04011-2282
Phone (207) 319-4129
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 |
|---|---|---|---|
| OT4047 | ME | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694908800000",
"number": "1841885878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 PLEASANT ST",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112282",
"telephone_number": "207-319-4129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 FOREST AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041033304",
"telephone_number": "207-781-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGARE",
"first_name": "LISA",
"middle_name": "ANNE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-02",
"last_updated": "2023-09-17",
"certification_date": "2023-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT4047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.