Kimberly Boan, COTA
NPI 1508509001 · Occupational Therapy Assistant · Port Orange, FL
Kimberly Boan, COTA is a Occupational Therapy Assistant provider in Port Orange, FL (NPI 1508509001).
Provider details
- NPI number
- 1508509001
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- 18904 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-14
- Last updated
- 2023-03-31
- Certified
- 2023-03-31
Frequently asked questions
- What is Kimberly Boan's NPI number?
- Kimberly Boan's National Provider Identifier (NPI) is 1508509001, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Boan's specialty?
- Kimberly Boan is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kimberly Boan located?
- Kimberly Boan's practice location on file with NPPES is 3520 S Nova Rd, Port Orange, FL 32129-3725.
- What is Kimberly Boan's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Boan is (386) 281-8193.
- Is Kimberly Boan's NPI active?
- Yes — Kimberly Boan's NPI (1508509001) is active in the NPPES registry as of the last update on 2023-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.