Tamara Michelle Boineau

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1785 Lexington Commons Dr
Rock Hill, SC 29732-3528

Phone

(803) 207-8000

NPI assigned

Oct 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1114699337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 KILBURN LN",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297150037",
            "telephone_number": "864-630-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 LEXINGTON COMMONS DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323528",
            "telephone_number": "803-207-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOINEAU",
        "first_name": "TAMARA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Adele Bogan, AU.D.
• Lee Ann Evelynn Bogert
• Sarah Denise Boggs
• Meagan Leigh Boheler
• Dianne Martin Boik, PA
• Geneva Bonaparte
• Jane Ellison Bondurant, P.T.
• Lotte Friend Bonneau, LISW-CP
• Jyazia Booker, RBT
• Margaret Boone

• All providers in Rock Hill, SC
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.