Active NPI
Theresa Anne Boire, OTR/L
- Specialist
- Fort Edward, NY
National Provider Identifier
1194036772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 009154-1
- Practice address
- 270 County Route 42
Fort Edward, NY 12828 - Phone
- (518) 747-0307
- NPI assigned
- Jun 29, 2010
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 009154-1 | NY | Primary |
Addresses
Primary practice location
270 County Route 42
Fort Edward, NY 12828
Mailing address
270 County Route 42
Fort Edward, NY 12828-4001
Phone (518) 747-0307
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 |
|---|---|---|---|
| 009154-1 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1194036772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 COUNTY ROUTE 42",
"city": "FORT EDWARD",
"state": "NY",
"postal_code": "128284001",
"telephone_number": "518-747-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 COUNTY ROUTE 42",
"city": "FORT EDWARD",
"state": "NY",
"postal_code": "12828",
"telephone_number": "518-747-0307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOIRE",
"first_name": "THERESA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-29",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "009154-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Edward, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.