Rachel Boulos

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

024685-01 Issued in NY

Practice address

12 Independence Way
Hazlet, NJ 07730-2433

Phone

(732) 888-1321

NPI assigned

May 19, 2020

Last updated

May 19, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jersey Shore Pelvic HealthGroup PAC ID 0840679577, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Jersey Shore Pelvic Health

  • Physical Therapy Clinic/Center
  • Barnegat, NJ
  • NPI 1790458628
  Medicare reassignment Care Compare group NPD
• Coastal Home Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Belmar, NJ
  • NPI 1316236664
  Medicare reassignment NPD
• Synergy Therapy Services

  • Physical Therapist
  • East Brunswick, NJ
  • NPI 1720750029

  Occupational Therapist

  Medicare reassignment NPD
• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1356964894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 INDEPENDENCE WAY",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077302433",
            "telephone_number": "732-888-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 INDEPENDENCE WAY",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077302433",
            "telephone_number": "732-888-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULOS",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00911800",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024685-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Bollinger
• Peter Bonadonna, DPT
• Anita Serwaa Bonsu, DR
• Kelsey Borden, LSW
• Monica Boulos
• Kerith Boyle, MSN, ACNP
• Russell Bradford
• Lisa Marie Brown, LCSW
• Samantha Brown, PSYD
• Ibrahim Salem Buker, M.D.

• Occupational Therapist in Hazlet, NJ
• Providers in Hazlet, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.