Active NPI
Thomas Boyd, OTR/L
- Occupational Therapist
- Huntington, WV
National Provider Identifier
1881243087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1795
- Practice address
- 1720 17TH St
Huntington, WV 25701-4235 - Phone
- (304) 529-6031
- NPI assigned
- Sep 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1795 | WV | Primary |
Addresses
Primary practice location
1720 17TH St
Huntington, WV 25701-4235
Mailing address
1720 17TH St
Huntington, WV 25701-4235
Phone (304) 529-6031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36121 | Medicaid | WV |
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 |
|---|---|---|---|
| 1795 | WV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1881243087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 17TH ST",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257014235",
"telephone_number": "304-529-6031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 17TH ST",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257014235",
"telephone_number": "304-529-6031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-10",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "1795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36121",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.