Whitney M Boetel, MS, OT, C/NDT

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

18482 Issued in CA

Practice address

7739 E Portofino Ave
Anaheim, CA 92808-1569

Phone

(714) 227-7783

NPI assigned

Sep 11, 2023

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Thrive Therapy Services Inc

  • In Home Supportive Care Agency
  • Newport Beach, CA
  • NPI 1508567025
  NPD Authorized official
• Thrive Therapy Services Inc

  • Rehabilitation Clinic/Center
  • Newport Beach, CA
  • NPI 1598477598
  NPD Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1861279101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7739 E PORTOFINO AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081569",
            "telephone_number": "714-227-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7739 E PORTOFINO AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081569",
            "telephone_number": "714-227-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOETEL",
        "first_name": "WHITNEY",
        "middle_name": "M",
        "credential": "MS, OT, C/NDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "CA",
            "license": "18482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Boediarto, COTA/L
• Christian G. Boehmer, MD
• Katherine Marie Boelts
• Ruth L Boersma, PT
• Paul Boetcher, M.D.
• Tamryn Boggess
• Adriana Bogosian
• Matilde Bohlig, NP
• Carl Bohn Jr.
• Vaughne V Bohn, PA

• Neurorehabilitation Occupational Therapist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Neurorehabilitation Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.