Active NPI
Michael D Boulay, OTR/L
- Physical Rehabilitation Occupational Therapist
- Worcester, MA
National Provider Identifier
1861342339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 14140
- Practice address
- 45 Carlisle St
Worcester, MA 01602-3323 - Phone
- (774) 239-0621
- Fax
- (774) 239-0621
- NPI assigned
- Feb 2, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 14140 | MA | Primary |
Addresses
Primary practice location
45 Carlisle St
Worcester, MA 01602-3323
Mailing address
45 Carlisle St
Worcester, MA 01602-3323
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14140 | MA | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1861342339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 CARLISLE ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016023323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 CARLISLE ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016023323",
"telephone_number": "774-239-0621",
"fax_number": "774-239-0621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOULAY",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-02",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "MA",
"license": "14140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.