Danielle N Boog, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201007526 Issued in MI

Practice address

3351 Eagle Run Dr NE
Grand Rapids, MI 49525-7070

Phone

(616) 365-8920

Fax

(616) 365-8971

NPI assigned

Jan 24, 2012

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)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1982975843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 RAYMOND AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 EAGLE RUN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257070",
            "telephone_number": "616-365-8920",
            "fax_number": "616-365-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOG",
        "first_name": "DANIELLE",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Bonilla
• Anthony G Bonita, PHD
• Bruce W Bonnell, M.D.
• Jesilee Bonofiglio, MSW
• Michael Paul Bonter, PHARMD
• Jadyn Boogaard
• Beth Ann Boogholt, M.S., BCBA, LLP, LBA
• Booker Behavior Therapy LLC
• Edward A Booker Jr.
• Marilyn Booker, MA, LSC, LLPC

• Occupational Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.