Sunny Rae Bolduc, OT/L, CLT
NPI 1457910556ActiveIndividual· Occupational Therapist· Belfast, ME
Occupational Therapist (OT/L, CLT) with Magnolia Outpatient Physical Therapy Services, LLC, practicing in Belfast, Maine. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1457910556 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OT/L, CLT |
| Sole proprietor | No |
| NPI issued | Jun 12, 2019 |
| Last updated in NPPES | Jun 12, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT1630 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (ME) |
|---|
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Magnolia Outpatient Physical Therapy Services, LLCBelfast, ME · 7 clinicians
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