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

Camille Boisvert Ko

Individual provider Occupational Therapist · NPI 1639560089

Camille Boisvert Ko is an Occupational Therapist in Private Practice in Dallas, Texas. Qualified in 2019, 7 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2015

Practice location Address checks out

8390 Lyndon B Johnson Fwy Ste 1000
Dallas, TX 75243-1288
Phone: (214) 750-9977
Fax: (214) 750-9983
Show map & directions

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

Additional practice locations (1)

  • 930 W Centerville Rd, Garland, TX 75041-5823 — (972) 303-7021

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 116669 (TX)

Record details

NPI number1639560089
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 6, 2015
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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