Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brooke Boeser

Individual provider Occupational Therapy Assistant · NPI 1629940812

Brooke Boeser is an Occupational Therapy Assistant in Saint Jacob, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

231 W Main St
Saint Jacob, IL 62281-1531
Phone: (618) 225-9212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057.004890 (IL)

Record details

NPI number1629940812
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 18, 2025
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025
Mailing address231 W Main St, Saint Jacob, IL 62281-1531