Individual provider Active NPI

Carol S Boczarski, OTR/L

  • Pediatric Occupational Therapist
  • Kennesaw, GA
National Provider Identifier
1609833946
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT002232 Issued in GA
Practice address
3471 Deerfield LN NW
Kennesaw, GA 30144-1888
Phone
(770) 792-5986
Fax
(678) 290-0173
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT002232 GA
Pediatric Occupational Therapist 225XP0200X OT002232 GA Primary

Addresses

Primary practice location

3471 Deerfield LN NW
Kennesaw, GA 30144-1888

Mailing address

3471 Deerfield LN NW
Kennesaw, GA 30144-1888
Phone (770) 792-5986

Other identifiers 2

IdentifierTypeStateIssuer
52748023002OtherBC/BS
0091987AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT002232GAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609833946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 DEERFIELD LN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441888",
            "telephone_number": "770-792-5986",
            "fax_number": "678-290-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 DEERFIELD LN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441888",
            "telephone_number": "770-792-5986",
            "fax_number": "678-290-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCZARSKI",
        "first_name": "CAROL",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT002232",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT002232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "52748023002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091987A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.