Active NPI
Rebecca Sue Boisclair, OTR/L
- Occupational Therapist
- Flint, MI
National Provider Identifier
1154809689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 520100681
- Practice address
- 4436 Beecher Rd
Flint, MI 48532-2609 - Phone
- (810) 733-0290
- NPI assigned
- Aug 6, 2018
- 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 | 520100681 | MI | Primary |
Addresses
Primary practice location
4436 Beecher Rd
Flint, MI 48532-2609
Mailing address
510 N Saginaw St
Durand, MI 48429-1241
Phone (989) 627-9236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 520100681 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1154809689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 N SAGINAW ST",
"city": "DURAND",
"state": "MI",
"postal_code": "484291241",
"telephone_number": "989-627-9236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4436 BEECHER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485322609",
"telephone_number": "810-733-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOISCLAIR",
"first_name": "REBECCA",
"middle_name": "SUE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "520100681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.