IndividualActive
Ethan Boren, MOT, OTR, L
NPI 1528517166 · Occupational Therapist · Quincy, IL
Provider details
- NPI number
- 1528517166
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MOT, OTR, L
- Sex
- Male
- Sole proprietor
- No
- License
- 056011119 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1005 Broadway St
Quincy, IL 62301-2834
Phone: (217) 223-8400
Street-level locationGet directions
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Registry dates
- Enumerated
- 2016-09-23
- Last updated
- 2016-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.