Brittany Kaye Boatman, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Gibsonburg, OH
NPI 1104604677 · NPPES record last updated Sep 18, 2023
Key facts
- NPI
- 1104604677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA005952 (OH)
- Practice address
- 355 Windsor LN
Gibsonburg, OH 43431-1446 - Phone
- (419) 573-3369
- NPI assigned
- Sep 18, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA005952 | OH | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA005952 | OH | Yes |
Addresses
Primary practice location
355 Windsor LN
Gibsonburg, OH 43431-1446
Mailing address
3906 County Road 1
Kansas, OH 44841-9623
Phone (419) 619-6324
Other providers in Gibsonburg, OH
- Kimberly W Baker
- Julie Lynn Buehrle-Estep
- Holly Annette Coble
- David a Wassil DO Inc
- Kathleen Duncan
- Jennifer Frankart
All providers in Gibsonburg, OH · Occupational Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.