MRS. KAYLA ANN BOUCHER OT
NPI 1336496967
Occupational Therapist in Henderson, NV

Active since August 14, 2012
874 AMERICAN PACIFIC DR, HENDERSON, NV 89014(702) 777-4808 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 28, 2019, Nov 12, 2018 (2 updates tracked since 2018).

About Mrs. Kayla Ann Boucher Ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KAYLA ANN BOUCHER OT (NPI 1336496967) is an individual occupational therapist in Henderson, Nevada, licensed in Nevada (13-0294) and active in the NPI registry since August 2012. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1336496967
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMRS. KAYLA ANN BOUCHERCredential: OT
Location Address874 AMERICAN PACIFIC DRHenderson, NV 89014-8800
Mailing Address1161 S Valley View BlvdLas Vegas, NV 89102-1854 · (702) 486-9200
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 14, 2012
Last NPPES UpdateAugust 28, 20192 updates tracked since enumeration
✔ NPI 1336496967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in NV · 13-0294
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
874 AMERICAN PACIFIC DR, Henderson, NV 89014

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kayla Ann Boucher Ot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597232868
PECOS Enrollment IDI20260423001820

Medicare Billing Reassignment

Medicare enrollment records show Kayla Boucher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Behavior Analyst
44670 ANN ARBOR RD W STE 130
Plymouth, MI 48170
  • Reassigned Medicare billing, Michigan enrollment
  • 38 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Physician Assistant (Medical)
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Physical Therapist (Orthopedic)
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Student in an Organized Health Care Education/Training Program
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Behavior Technician
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Behavior Technician
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Behavior Analyst
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Internal Medicine (Rheumatology)
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kayla Boucher's NPI number?

The NPI number for Kayla Boucher is 1336496967. It was assigned to this individual provider in the NPPES registry on August 14, 2012.

Where is Kayla Boucher located?

Kayla Boucher practices at 874 American Pacific Dr, Henderson, NV 89014. The listed phone number is (702) 777-4808.

What is Kayla Boucher's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Kayla Boucher enrolled in Medicare?

Yes. Kayla Boucher is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kayla Boucher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Boucher reassigns Medicare benefits to Dearborn Speech And Sensory Center, Inc (Plymouth, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kayla Boucher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kayla Boucher accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kayla Boucher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kayla Boucher was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.