Kimberly Diane Boullard, OTR
NPI 1770603862ActiveIndividual· Occupational Therapist· Providence, RI
Occupational Therapist (OTR) in Providence, Rhode Island, licensed in RI, with an NPI issued in March 2007.
Overview
| NPI | 1770603862 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR |
| Sole proprietor | No |
| NPI issued | Mar 30, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT 01140 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Occupational Therapist providers in Providence
- 1679592323
- 1750024576
- 1063612356
- 1528785680
- 1104354042
- 1740978048
- 1316701618
- 1124181292
- 1205465168
- 1922164839
- 1366670283
- 1366756033