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

Dr. Kathryn Ann Boomershine, OTD, OTR

Individual provider Occupational Therapist · NPI 1710657234

Dr. Kathryn Ann Boomershine, OTD, OTR is an Occupational Therapist in Private Practice in West Lafayette, Indiana. Qualified in 2019, 7 years ago. Practices with Franciscan Physician Network, a 1,171-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2021
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

909 Sagamore Pkwy W Ste 917
West Lafayette, IN 47906-1443
Phone: (765) 463-0710
Fax: (765) 463-0711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 — (765) 362-6740

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 31006949A (IN)

Record details

NPI number1710657234
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR
Sole proprietorNo
NPI enumeratedSeptember 16, 2021
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024

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)
Group practice Franciscan Physician Network — 1171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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