MRS. MARLIS YVONNE BOUCHARD-NICHOLS


Address: 6 Crystal Ln, Latham, NY 12110-1714
Phone: 5187854705

MRS. MARLIS YVONNE BOUCHARD-NICHOLS (NPI# 1528203916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528203916
Entity Type Individual
Full Name MRS. MARLIS YVONNE BOUCHARD-NICHOLS
Credential OTR/L
Practice Address 6 Crystal Ln
Latham
NY 12110-1714
Practice Telephone 5187854705
Mailing Telephone 5187854705
Enumeration Date 2008-12-13
Last Update Date 2008-12-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics
007750-1 NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 6 CRYSTAL LN
City LATHAM
State NY
Zip Code 12110-1714

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1154963973 Bayley Archinal Physical Therapist 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 2019-10-14
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1710477260 Colleen Phillips Physical Therapist 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 2018-05-10
1528574779 Deborah Cannon Specialist 33c Waterford Avenue East, Latham, NY 12110 2017-12-26
1730600149 Michael Navarrete Dentist 231 Wade Road Ext Unit 101, Latham, NY 12110 2017-07-06
1316499452 Colonie Asc LLC Clinic/Center 207 Troy-schenectady Rd, Colonie, NY 12110 2016-10-25
1720539950 Tania M Durante Pharmacist 1057 Troy-schenectady Rd, Latham, NY 12110 2016-10-24
1417344987 New York Epilepsy Medicine, PC Clinic/Center 3 Lear Jet Ln Ste 203, Latham, NY 12110 2015-04-22
1346664752 Lauren Gannon Registered Nurse 95 Forts Ferry Road, Latham, NY 12110 2014-02-06
1649522756 Natasha Kapsaroff-ruiz Nurse Practitioner 654 Watervliet Shaker Rd, Latham, NY 12110 2012-10-12
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Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093087322 Erika L Lyons Occupational Therapist 91 Fiddlers Ln, Latham, NY 12110-5343 2012-02-02
1417322652 Heather Passaretti Occupational Therapist 623 New Loudon Rd, Latham, NY 12110-4031 2015-12-13
1194159921 Kara Elizabeth Collins Occupational Therapist 623 New Loudon Rd, Latham, NY 12110-4031 2013-08-28

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1467069971 Sensory Style Ot PC Occupational Therapist 1063 North Ave, New Rochelle, NY 10804-3620 2020-09-29
1942817333 Sarit R Schreier Occupational Therapist 13749 70th Ave # 1a, Flushing, NY 11367-1925 2020-09-29
1205449758 Katelyn Dobranski Ot Occupational Therapist 7003 69th St, Glendale, NY 11385-6658 2020-08-25
1518570258 Rachel T Kakuriev Occupational Therapist 1057 Bay 32nd St, Far Rockaway, NY 11691-1848 2020-08-24
1548873219 Rebecca Fendrich Occupational Therapist 61 Edison Ct Apt D, Monsey, NY 10952-1932 2020-08-24
1013528439 Gitta Moskowitz Occupational Therapist 13624 71st Rd, Flushing, NY 11367-1943 2020-08-10
1366053886 Golda Krausz Occupational Therapist 1359 E 14th St, Brooklyn, NY 11230-5974 2020-08-10
1609491687 Megan Danielle Iovino Occupational Therapist 681 Foch Blvd, Williston Park, NY 11596-1510 2020-06-15
1689295487 Jacqueline Hakim Occupational Therapist 1927 E 23rd St, Brooklyn, NY 11229-3617 2020-05-03
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City LATHAM
Zip Code 12110

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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