Emily Bourque, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2633 Issued in NH

Practice address

76 Northeastern Blvd Ste 40
Nashua, NH 03062-3174

Phone

(603) 882-4500

NPI assigned

Apr 25, 2017

Last updated

Mar 25, 2024By 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 NH

Enrollment records 1

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.

• From the Ground Up OT LLC

  • Occupational Therapist
  • Raymond, NH
  • NPI 1285494419
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1336674597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 LANGFORD RD",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "030771708",
            "telephone_number": "603-203-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 NORTHEASTERN BLVD STE 40",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623174",
            "telephone_number": "603-882-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Elliot Way",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031033502",
            "country_code": "US",
            "telephone_number": "603-203-0807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79 Langford Rd",
            "address_purpose": "LOCATION",
            "city": "Raymond",
            "state": "NH",
            "postal_code": "030771708",
            "country_code": "US",
            "telephone_number": "603-203-0807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURQUE",
        "first_name": "EMILY",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "2633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Boucher
• Patricia Mary Boudreau, P.T.
• Giselle Candace Boulay, APRN
• Elizabeth Ellen Bouley, FNP-BC, ARNP
• Priscilla F Bourgoine, MSW
• Shayne Bourque, PA-C
• Doreen E Boutin, LCMHC, MLADC
• Robert Boutin
• Shayna Boutin
• Joan Boutwell, APRN

• Occupational Therapist in Nashua, NH
• Providers in Nashua, NH by specialty
• Occupational Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.