Kevin Bouse, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056004158 Issued in IL

Practice address

180 S 3Rd St BLDG E
Suite 30
Belleville, IL 62220-1952

Phone

(618) 234-2120

Fax

(618) 222-4661

NPI assigned

Jul 14, 2008

Sex

Male

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)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://scripts.prevea.com/FHIR-ARR-PRD/api/FHIR/R4/

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.

• Saint Elizabeth's Hospital

  • General Acute Care Hospital
  • Belleville, IL
  • NPI 1407067978
  Authorized official Same address or phone
• St Elizabeths Hospital of the Hospital Sisters of the Third Order

  dba HSHS St. Elizabeth's Hospital

  • Rehabilitation Hospital Unit
  • O'Fallon, IL
  • NPI 1023097540
  NPD (past)
• St Elizabeths Hospital of the Hospital Sisters of the Third Order

  dba HSHS St. Elizabeth's Hospital

  • General Acute Care Hospital
  • O'Fallon, IL
  • NPI 1629057302
  NPD (past)

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1396909891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S 3RD ST BLDG E",
            "address_2": "SUITE 30",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201952",
            "telephone_number": "618-234-2120",
            "fax_number": "618-222-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S 3RD ST BLDG E",
            "address_2": "SUITE 30",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201952",
            "telephone_number": "618-234-2120",
            "fax_number": "618-222-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSE",
        "first_name": "KEVIN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056004158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Born to Bloom Pediatric Therapy
• Kaitlyn Boschenreither
• Stephen Boschenreither, CPHT
• Amanda Kay Boscoe
• Carla Evonne Bouc, LCPC
• Virginia S Bouse, P. T.
• Peyton Bowe, PA-C
• Michael Bower, ATC. LAT.
• Elisha Boyd, FNP
• Marc G Boyer, PA-C

• Occupational Therapist in Belleville, IL
• Providers in Belleville, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.