Gale D Boughman, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2715 Issued in SC

Practice address

1900 Sunset Blvd
West Columbia, SC 29169-5959

Phone

(803) 926-7204

Fax

(803) 926-7206

NPI assigned

Apr 6, 2010

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

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 and National Provider Directory roles.

• Key Changes Therapy Services, Inc

  • Speech-Language Pathologist
  • West Columbia, SC
  • NPI 1669719530

  Occupational Therapist

  NPD (past)
• Medsource Inc.

  • Durable Medical Equipment & Medical Supplies
  • West Columbia, SC
  • NPI 1538158902
  NPD (past)
• The Sigurd Center for Ortho & Neuro Rehab

  • Physical Therapist
  • West Columbia, SC
  • NPI 1376658542

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1437474186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291695959",
            "telephone_number": "803-926-7204",
            "fax_number": "803-926-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291695959",
            "telephone_number": "803-926-7204",
            "fax_number": "803-926-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUGHMAN",
        "first_name": "GALE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "2715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Frye Boone, MA, LPC
• Harriet L Boozer, M.D.
• Ekaterina Grace Bordelon
• Paul Herbert Bornemann, M.D.
• Mary A Bosworth, CRNA
• Jenny Rosenberg Bouknight, LISW-CP
• Suellen Bowarsock, PT
• Allyson A Bowen, LISW-CP
• Kendal S Bowers, PT
• Ryan Wayne Bowers, D.C.

• Occupational Therapist in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.