Ashley Nicole Boudle, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

4007 Issued in MA

Practice address

20 N Maple St
Hadley, MA 01035-9715

Phone

(413) 584-5057

NPI assigned

Nov 6, 2015

Last updated

Nov 6, 2015By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1700259157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 WOODS HOLLOW RD",
            "city": "WEST SUFFIELD",
            "state": "CT",
            "postal_code": "060932656",
            "telephone_number": "860-508-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N MAPLE ST",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010359715",
            "telephone_number": "413-584-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDLE",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MA",
            "license": "4007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapy Assistant in Hadley, MA
• Providers in Hadley, MA by specialty
• Occupational Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.