Susanne Michele Boisvert, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

115711 Issued in TX

Practice address

7700 Floyd Curl Dr
San Antonio, TX 78229-3902

Phone

(210) 575-9165

NPI assigned

Oct 2, 2013

Last updated

Oct 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665878400000",
    "number": "1073940268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 VON SCHEELE DR",
            "address_2": "#335",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294313",
            "telephone_number": "210-831-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293902",
            "telephone_number": "210-575-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOISVERT",
        "first_name": "SUSANNE",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "MOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2022-10-16",
        "certification_date": "2022-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119006063",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "115711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Bohne, L.C.S.W.
• Melissa Ajunwa Bohonos, M.D
• Karen Jane Bohr, RN, IBCLC
• Brian Taylor Boies, M.D.
• Aaron J.M. Bois, MD, MSC, FRCSC
• Katherine Boivin, HIS
• Gabrielle Diandra Bojorquez, LMSW
• Sismai Bojorquez
• Bonita Olivia Bolado
• Jolinda Bolanda, CNIM

• Occupational Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.