Boundless Community OT, LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

BOUNDLESS COMMUNITY OT, LLC

Practice address

120 Main St
Bridgewater, MA 02324-1409

Phone

(781) 864-2268

NPI assigned

Nov 17, 2021

Last updated

Nov 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elena Hogan, OTR/LNPI 1891931671

Title

Occupational Therapist

Phone

(781) 864-2268

Specialties & licenses 1

Addresses

Tax ID family

Boundless Community OT LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Boundless Community OT, LLC

  • Occupational Therapist
  • Bridgewater, MA
  • NPI 1912671413
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elena Joy Hogan, OTR/L

  • Occupational Therapist
  • Bridgewater, MA
  • NPI 1891931671
  NPD Authorized official

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1699432385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 PLEASANT ST STE 101",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242473",
            "telephone_number": "781-864-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAIN ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023241409",
            "telephone_number": "781-864-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNDLESS COMMUNITY OT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "781-864-2268",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blakewell Health (Blakewell Primary Care)
• Heidi S Bonito, LICSW
• Chelsie Boroski
• Tyler Botelho, LCSW
• Chrisann Boucher, LICSW
• Boundless Community OT, LLC
• Michael James Brackett
• Dillon Braile
• Zachary Edward Brandt, DPT
• Sandra D Breneville, PHARM D

• Developmental Disabilities Clinic/Center in Bridgewater, MA
• Providers in Bridgewater, MA by specialty
• Developmental Disabilities Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.