Donald Boulanger, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT4209 Issued in FL

Practice address

3911 Golf Park Loop
Suite 105
Bradenton, FL 34203-3453

Phone

(941) 756-1003

Fax

(941) 756-6003

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Children'S Therapy Associates, Inc

  • Physical Therapy Assistant
  • Bradenton, FL
  • NPI 1245286145

  Occupational Therapist

  NPD (past) Authorized official

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124090311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 CHERRY ST NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041523",
            "telephone_number": "941-756-1003",
            "fax_number": "941-756-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 GOLF PARK LOOP",
            "address_2": "SUITE 105",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342033453",
            "telephone_number": "941-756-1003",
            "fax_number": "941-756-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULANGER",
        "first_name": "DONALD",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT4209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y2902F",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rafik Botros
• Amir Mohamed Boubekri, MD
• Kyle Boudreaux
• Melissa Beth Boudreaux, PA-C
• Leena Bouhamid, DO
• Brian Joseph Bourdeau, PT
• Mina Nashaat Boutros, MD
• Shatanya Renee Bowen
• Kathryn Bower, D.O.
• Bowes Imaging Center LLC.

• All providers in Bradenton, FL
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.