Victoria Boucard, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

021959 Issued in NY

Practice address

75 Vanderbilt Ave FL 7
Staten Island, NY 10304-2604

Phone

(718) 215-7000

NPI assigned

Feb 27, 2023

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Therapy Services PT OT PLLCGroup PAC ID 4587041512, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Core Therapy Services PT OT PLLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1679217368
  Medicare reassignment Care Compare group NPD
• New York Physical and Occupational Therapy Services, PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1356703631

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1699474734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 EXETER ST",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101305",
            "telephone_number": "646-318-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 VANDERBILT AVE FL 7",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042604",
            "telephone_number": "718-215-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCARD",
        "first_name": "VICTORIA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fayez Botros
• Gabriella Bottalico
• Yasmin Rose Botte, LMHC
• Julia Marie Bottiglieri
• Elie Bou Sanayeh, M.D.
• Lisa Boule', CPNP
• Micheline Boulis
• Catherine Boulos, DDS
• Engy Boulos, RPH
• Dominique Bourgelais, FNP-BC

• Occupational Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.