Individual provider Active NPI

Michael Charles Boyer, OTRL ASHT

  • Hand Occupational Therapist
  • Allentown, PA
National Provider Identifier
1720046352
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OC000047L Issued in PA
Practice address
1230 S Cedar Crest Blvd Ste 306
Allentown, PA 18103-6212
Phone
(610) 509-6944
Fax
(610) 770-6390
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OC000047L PA Primary

Addresses

Primary practice location

1230 S Cedar Crest Blvd Ste 306
Allentown, PA 18103-6212

Mailing address

1230 S Cedar Crest Blvd Ste 306
Allentown, PA 18103-6212
Phone (610) 509-6944

Other identifiers 2

IdentifierTypeStateIssuer
5763056OtherAETNA
50000056OtherCAPITAL BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Practice of James Martin, MD, P.C. CurrentSince Sep 1, 2019 Accepting new patients

Locations

1230 S Cedar Crest Blvd
Ste 306
Allentown, PA 18103
Phone (610) 435-5241

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1720046352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S CEDAR CREST BLVD STE 306",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036212",
            "telephone_number": "610-509-6944",
            "fax_number": "610-770-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S CEDAR CREST BLVD STE 306",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036212",
            "telephone_number": "610-509-6944",
            "fax_number": "610-770-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "OTRL ASHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "PA",
            "license": "OC000047L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5763056",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50000056",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.