DR. KATHRYN ANN BOOMERSHINE OTD, OTR
NPI 1710657234
Occupational Therapist in West Lafayette, IN

Active since September 16, 2021Accepts Medicare Assignment
909 SAGAMORE PKWY W STE 917, WEST LAFAYETTE, IN 47906(765) 463-0710(765) 463-0711 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2024, Sep 16, 2021 (2 updates tracked since 2021).

About Dr. Kathryn Ann Boomershine Otd, Otr NPPES

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

DR. KATHRYN ANN BOOMERSHINE OTD, OTR (NPI 1710657234) is an individual occupational therapist in West Lafayette, Indiana, licensed in Indiana (31006949A) and active in the NPI registry since September 2021. She maintains a secondary practice location in Crawfordsville and is a graduate of Other (2019).

NPPES Registry Identity

NPI1710657234
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameDR. KATHRYN ANN BOOMERSHINECredential: OTD, OTR
Location Address909 SAGAMORE PKWY W STE 917West Lafayette, IN 47906-1443
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Fax(765) 463-0711
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 16, 2021
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
NPI 1710657234 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 IN · 31006949A
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.
909 SAGAMORE PKWY W STE 917, West Lafayette, IN 47906

Secondary Practice Location 1

Location 11710 Lafayette RdCrawfordsville, IN 47933-1033 · Phone (765) 362-6740

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kathryn Ann Boomershine Otd, Otr is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890237309
PECOS Enrollment IDI20240611003273

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.

Speech-Language Pathologist
909 SAGAMORE PKWY W STE 917
WEST LAFAYETTE, IN 47906
Physical Therapy Assistant
909 SAGAMORE PKWY W STE 917
LAFAYETTE, IN 47906
Physical Therapist
909 SAGAMORE PKWY W STE 917
WEST LAFAYETTE, IN 47906
Physical Therapist
909 SAGAMORE PKWY W STE 917
WEST LAFAYETTE, IN 47906
Physical Therapist
909 SAGAMORE PKWY W STE 917
WEST LAFAYETTE, IN 47906
Physical Therapist
909 SAGAMORE PKWY W STE 917
WEST LAFAYETTE, IN 47906
Physical Therapist
909 SAGAMORE PKWY W STE 917
WEST LAFAYETTE, IN 47906
Occupational Therapy Assistant
909 SAGAMORE PKWY W STE 917
WEST LAFAYETTE, IN 47906

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 Kathryn Boomershine's NPI number?

The NPI number for Kathryn Boomershine is 1710657234. It was assigned to this individual provider in the NPPES registry on September 16, 2021.

Where is Kathryn Boomershine located?

Kathryn Boomershine practices at 909 Sagamore Pkwy W Ste 917, West Lafayette, IN 47906. The listed phone number is (765) 463-0710.

What is Kathryn Boomershine's specialty?

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

Is Kathryn Boomershine enrolled in Medicare?

Yes. Kathryn Boomershine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathryn Boomershine accept?

Health plans from CareSource list Kathryn Boomershine 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 Kathryn Boomershine was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.