Donna Boulanger, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC004304L Issued in PA

Practice address

1 Heidelberg Dr
Wernersville, PA 19565-1642

Phone

(610) 927-8560

NPI assigned

Oct 4, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Master of Science

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

{
    "created_epoch": "1254614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254614400000",
    "number": "1508191925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 KINGSTON DR",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196081677",
            "telephone_number": "610-564-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEIDELBERG DR",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195651642",
            "telephone_number": "610-927-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULANGER",
        "first_name": "DONNA",
        "name_prefix": "Ms.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-04",
        "last_updated": "2009-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC004304L",
            "primary": true
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "PA",
            "license": "OC004304L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demetria Bazemore-Anderson
• Berks Family Eyecare P C
• Berks Family Eyecare P C
• Irene Biondo
• Harry Norman Blumner III, PSD
• Boylan & Burek Chiropractic, PC
• Christopher Boylan, D.C.
• Brittany M Brice, PTA
• Lauren Marie Buckley
• Sheila C Burek, DC

• Occupational Therapist in Wernersville, PA
• Providers in Wernersville, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2009; 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.