Reilly Marie Boyle, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT4295 Issued in ME

Practice address

8 Science Park Rd
Scarborough, ME 04074-6112

Phone

(207) 761-8402

Fax

(207) 761-8405

NPI assigned

Aug 18, 2022

Last updated

Aug 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Goodwill Industries of Northern New England

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Portland, ME
  • NPI 1588785463

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1356069116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 NATANIS RIDGE CIR",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040906337",
            "telephone_number": "207-251-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SCIENCE PARK RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040746112",
            "telephone_number": "207-761-8402",
            "fax_number": "207-761-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "REILLY",
        "middle_name": "MARIE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT4295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikala Dawn Bousquet, LCSW
• Hans G Bowder, ANP-C
• Regina M Bowie, FNP
• Debra E. Boxer, MSW
• Chloe Boyes, LMSW-CC
• Wendy Jean Boynton, RPH
• Leslie Siriya Bradford, MD
• Brianna Bragdon
• Benjamin Frederick Branch, DO
• Lindsey Joan Brangwynne, D.M.D.

• Occupational Therapist in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.