Active NPI
Breanna Boyer, OTR/L
- Occupational Therapist
- Novato, CA
National Provider Identifier
1619604097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 23939
- Practice address
- 1465 S Novato Blvd
Novato, CA 94947-4509 - Phone
- (119) 299-2926
- NPI assigned
- Aug 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 23939 | CA | Primary |
Addresses
Primary practice location
1465 S Novato Blvd
Novato, CA 94947-4509
Mailing address
1495 Casa Buena Dr Apt 406
Corte Madera, CA 94925-1753
Phone (805) 264-7390
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23939 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1619604097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1495 CASA BUENA DR APT 406",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251753",
"telephone_number": "805-264-7390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 S NOVATO BLVD",
"city": "NOVATO",
"state": "CA",
"postal_code": "949474509",
"telephone_number": "119-299-2926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYER",
"first_name": "BREANNA",
"name_prefix": "Miss",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "23939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
- Jenny Eva Boris
- Borsting Laboratories, Inc
- Chris Bossone
- Daniel Jacob Boudagian
- Edmund Bourne, PH.D.
- Braden Partners LP (Pacific Pulmonary Services)
- Mark Brand, LCSW
- Rebecca Ann Brandi, LMFT
- Brett V. Curtis M.D. & Associates, a Professional Corporation (Medical Center of Marin)
- Diana Lee Brigham, D.M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.