Active NPI
Amy Kristen Boettner, MOTR/L
- Occupational Therapist
- Holland, OH
National Provider Identifier
1285978866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 006209
- Practice address
- 6924 Spring Valley Dr
Holland, OH 43528-9488 - Phone
- (419) 867-5611
- NPI assigned
- Nov 20, 2012
- Last updated
- Aug 20, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | OT 006209 | OH | Primary |
Addresses
Primary practice location
6924 Spring Valley Dr
Holland, OH 43528-9488
Mailing address
8415 Concord Rd
Grosse Ile, MI 48138-1383
Phone (419) 250-8759
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 |
|---|---|---|---|
| OT 006209 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1285978866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8415 CONCORD RD",
"city": "GROSSE ILE",
"state": "MI",
"postal_code": "481381383",
"telephone_number": "419-250-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6924 SPRING VALLEY DR",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435289488",
"telephone_number": "419-867-5611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOETTNER",
"first_name": "AMY",
"middle_name": "KRISTEN",
"name_prefix": "Mrs.",
"credential": "MOTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-20",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT 006209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.