Jacqueline A Boddy, MS, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201008144 Issued in MI

Practice address

6404 Sussex St
Portage, MI 49024-2653

Phone

(269) 271-3585

NPI assigned

Jan 28, 2013

Last updated

Jan 28, 2026By the provider in NPPES

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

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Safe at Home Therapy LLC

  • Occupational Therapist
  • Portage, MI
  • NPI 1285584565
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1285972133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 SUSSEX ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490242653",
            "telephone_number": "269-271-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 SUSSEX ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490242653",
            "telephone_number": "269-271-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDY",
        "first_name": "JACQUELINE",
        "middle_name": "A",
        "credential": "MS, OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynnette Raye Blostica, O.D.
• Bluewater Counseling Services LLC
• Megan Bly, DPT, CLT
• Shiva Ram Boda
• Sneha Priya Boda
• Steve Frederick Boden, DDS
• Johnathan Christian Bodjack, BA
• Natalie Grace Bohan, PHARMD
• Craig Bolthouse, LLMSW
• Kathy Bolton

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.