Jacqueline A. Boddy, MS, OT
NPI 1285972133ActiveIndividual· Occupational Therapist· Portage, MI
Occupational Therapist (MS, OT) in Portage, Michigan, licensed in MI, with an NPI issued in January 2013. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1285972133 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, OT |
| Sole proprietor | Yes |
| NPI issued | Jan 28, 2013 |
| Last updated in NPPES | Jan 28, 2026 |
| Certified by provider | Jan 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 5201008144 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (MI) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
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