Katie Elizabeth Boiardi

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

10204

Practice address

28 Richards St
Billerica, MA 01821-1348

Phone

(617) 470-8549

NPI assigned

Feb 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1679229017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 RICHARDS ST",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018211348",
            "telephone_number": "617-470-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 RICHARDS ST",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018211348",
            "telephone_number": "617-470-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOIARDI",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "10204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Billerica",
            "affiliation": "N",
            "address_1": "28 Richards St",
            "city": "Billerica",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018211348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Billerica",
            "affiliation": "N",
            "address_1": "28 Richards St",
            "city": "Billerica",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018211348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Komal V Bhagat
• Billerica Chiropractic Office,P.C.
• Billerica Counseling Center
• Billerica Family Dental
• Blue Square Counseling and Wellness Center, PLLC
• Melissa Braga, LICSW
• Samantha Janet Bright
• Sarah Broughton
• Christopher R Brown, O.D.
• Taylor Brown

• Occupational Therapist in Billerica, MA
• Providers in Billerica, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.