Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700036043 Individual Practitioner Male Practitioner

Bryan Boardsen , MOT

Occupational Therapist • Waterloo, IA

Professional Overview & Biography Verified Profile Summary

Bryan Boardsen, MOT is a registered healthcare professional specializing in Occupational Therapist in Waterloo, IA. Practice services are available at 815 W TOWER PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

815 W Tower Park Dr

Waterloo, IA 507019026

Telephone 3192336995
Fax 3192337083
Associated Practice Facility / Clinic
🏢 Physical Therapy Partners Facility NPI 1912987108

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Waterloo, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
10 Specialists

Practicing in Waterloo, IA (1121 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

State License IA 002042

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.

Occupational Therapist

NUCC Taxonomy Code: 225X00000X

State License IL 056-008438

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Iowa Pt License Number
002042 (IA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Marissa Stalder

Physical Therapist

NPI 1013614858
Justine Zikuda , MSPT

Physical Therapist

NPI 1013988138

Master of Science in Physical Therapy

Kris Marcks

Physical Therapist

NPI 1033206727
Tanya Arnold , OTA

Occupational Therapy Assistant

NPI 1194993618
Bethany Daly , PTA

Physical Therapy Assistant

NPI 1255301487

Physical Therapist Assistant

Andrea Herman , SPEECH PATHOLOGIST

Speech-Language Pathologist

NPI 1285605485

SPEECHPATHOLOGIST

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2012

Registered at 815 W TOWER PARK DR, WATERLOO, IA 507019026 (Tel: 3192336995)

📍
Updated Business Mailing Address April 11, 2012

Registered at 850 43RD AVE, SUITE 100, MOLINE, IL 612658401 (Tel: 3097432070)

👤
Provider Name / Credentials Updated April 11, 2012

Recorded as BRYAN BOARDSEN, MOT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2012

Occupational Therapist (License #002042 in IA)

🟢
Initial NPI Registration & Enumeration September 23, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700036043
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2008
Last Update: April 11, 2012
Sole Proprietor: No

Mailing Address

850 43rd Ave, Suite 100

Moline, IL 612658401

Phone: 3097432070

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.