MS. KIMBERLY DIANE BOULLARD OTR
NPI 1770603862
Occupational Therapist in Providence, RI

Active since March 30, 2007
1000 EDDY STREET, PROVIDENCE, RI 02905(401) 533-9100 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kimberly Diane Boullard Otr NPPES

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

MS. KIMBERLY DIANE BOULLARD OTR (NPI 1770603862) is an individual occupational therapist in Providence, Rhode Island, licensed in Rhode Island (OT 01140) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1770603862
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMS. KIMBERLY DIANE BOULLARDCredential: OTR
Location Address1000 EDDY STREETProvidence, RI 02905
Mailing Address9-1 Tuck Farm RdAuburn, MA 01501-2455 · (508) 832-8041
Sole ProprietorNo
Enumeration DateMarch 30, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1770603862 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 RI · OT 01140
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.

1000 EDDY STREET, Providence, RI 02905

Other Names 1

Former Name (1)Ms. Kimberly Diane Backunas Otr

Other Identifiers 3

Other99947RI · Bcross
Other640014RI · United
Other2058RI · Nhprc

Accepted Insurance

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.

Social Worker
1000 EDDY STREET
PROVIDENCE, RI 02905
Early Intervention Provider Agency
1000 EDDY STREET
PROVIDENCE, RI 02905
Occupational Therapist (Pediatrics)
1000 EDDY STREET
PROVIDENCE, RI 02905
Physical Therapist (Pediatrics)
1000 EDDY STREET
PROVIDENCE, RI 02905
Occupational Therapist (Pediatrics)
1000 EDDY STREET
PROVIDENCE, RI 02905
Physical Therapy Assistant
1000 EDDY STREET
PROVIDENCE, RI 02905
Interpreter
1000 EDDY STREET
PROVIDENCE, RI 02905
Occupational Therapy Assistant
1000 EDDY STREET
PROVIDENCE, RI 02905

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 Kimberly Boullard's NPI number?

The NPI number for Kimberly Boullard is 1770603862. It was assigned to this individual provider in the NPPES registry on March 30, 2007. The provider is also known as Ms. Kimberly Diane Backunas Otr.

Where is Kimberly Boullard located?

Kimberly Boullard practices at 1000 Eddy Street, Providence, RI 02905. The listed phone number is (401) 533-9100.

What is Kimberly Boullard's specialty?

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

What insurance does Kimberly Boullard accept?

Health plans from Anthem Blue Cross and Blue Shield list Kimberly Boullard 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 Kimberly Boullard was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.