Active NPI
Jill Bolger, OTR
- Occupational Therapist
- East Bridgewater, MA
National Provider Identifier
1043086960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTL15074
- Practice address
- 1 Compass Way Ste 204
East Bridgewater, MA 02333-1466 - Phone
- (774) 516-2307
- NPI assigned
- Dec 1, 2023
- 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 | OTL15074 | MA | Primary |
Addresses
Primary practice location
1 Compass Way Ste 204
East Bridgewater, MA 02333-1466
Mailing address
703 Granite St Ste 3
Braintree, MA 02184-5350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240110002582 | MA | Practitioner - Occupational Therapist in Private Practice | 1254781800 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- J.B. Rehabilitation Associates, Inc
Practice addresses (Care Compare)
104 Quarry St
FL 1
Quincy, MA 02169-4175
Phone (617) 770-4167
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J.B. Rehabilitation Associates, Inc | Current | Accepting new patients | |
| J B Rehabilitation Associates, Inc. | Occupational Therapist | Past | Accepting new patients |
Locations
104 Quarry St
Fl 1
Quincy, MA 02169
Phone (617) 770-4167
104 Quarry St
Quincy, MA 02169
Phone (617) 770-4167
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 and National Provider Directory roles.
-
- Occupational Therapist
- Quincy, MA
- NPI 1912395955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1043086960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 GRANITE ST STE 3",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021845350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COMPASS WAY STE 204",
"city": "EAST BRIDGEWATER",
"state": "MA",
"postal_code": "023331466",
"telephone_number": "774-516-2307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLGER",
"first_name": "JILL",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-01",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "OTL15074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Bridgewater, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.