Individual provider Active NPI

Anastasiya Boikova, OTR

  • Occupational Therapist
  • Boca Raton, FL
National Provider Identifier
1669889432
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT16478 Issued in FL
Practice address
1598 SW 15TH St
Boca Raton, FL 33486-6531
Phone
(614) 440-8066
NPI assigned
Jul 14, 2014
Last updated
Aug 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT16478 FL Primary

Addresses

Primary practice location

1598 SW 15TH St
Boca Raton, FL 33486-6531

Mailing address

1598 SW 15TH St
Boca Raton, FL 33486-6531
Phone (614) 440-8066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210416000763 FL Practitioner - Occupational Therapist in Private Practice 3779854070 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Viva Pediatric Therapy Inc Occupational Therapist CurrentSince Jul 1, 2014 Accepting new patients
Wholesome Therapy Center Inc Current Accepting new patients

Locations

461 E Hillsboro Blvd
Ste 1001
Deerfield Beach, FL 33441
Phone (614) 440-8066

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1669889432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1598 SW 15TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334866531",
            "telephone_number": "614-440-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1598 SW 15TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334866531",
            "telephone_number": "614-440-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOIKOVA",
        "first_name": "ANASTASIYA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT16478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.