Rubina Christine Boyrazian, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201011319 Issued in MI

Practice address

1885 Harbor Vista Dr Apt 2a
Marquette, MI 49855-5086

Phone

(847) 912-6221

NPI assigned

Sep 28, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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.

• Pediplay LLC

  • Occupational Therapist
  • Indianapolis, IN
  • NPI 1679695381
  NPD (past)

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654387200000",
    "number": "1194195651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 HARBOR VISTA DR APT 2A",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555086",
            "telephone_number": "847-912-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 HARBOR VISTA DR APT 2A",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555086",
            "telephone_number": "847-912-6221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6239 S East St Ste A",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462272088",
            "country_code": "US",
            "telephone_number": "317-791-9031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8965 W. Golf rd.",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "IL",
            "postal_code": "60714",
            "country_code": "US",
            "telephone_number": "847-912-6221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYRAZIAN",
        "first_name": "RUBINA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.003365",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31006969A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201011319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Marie Boudreau, LMSW
• Denise Marie Bowman, RN
• Tabytha Boyak, OD
• Donna J Boyd, M.D.
• Jennifer J Boyerdewitt
• Valerie Bradley-Holliday, PH.D., L.M.S.W.
• John Bradtke
• Shelley M Brandow, LPC
• Melissa Brandt
• Katrina M Brang, MD

• Occupational Therapist in Marquette, MI
• Providers in Marquette, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; 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.