Individual provider · Type 1 NPI

Brooke Boeser

Occupational Therapy Assistant · St. Jacob, IL

NPI number 1629940812 Active

Practice location

231 W Main St
St. Jacob, IL 62281-1531

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057.004890 (IL)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

About NPI 1629940812

Brooke Boeser's National Provider Identifier is 1629940812, issued on Sep 18, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in St. Jacob, IL. The record was last updated on Sep 18, 2025.