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

Jackie Lynn Bosshart, OTR/L

Individual provider Occupational Therapist · NPI 1801041447

Jackie Lynn Bosshart, OTR/L is an Occupational Therapist in Private Practice in Blaine, Minnesota. Qualified in 2008, 18 years ago. Practices with Summit Orthopedics, Ltd, a 280-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
18
Licensed in
MN
In the registry since
2008
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

10230 Baltimore St NE Ste 300
Blaine, MN 55449-4674
Phone: (651) 968-5201
Fax: (651) 968-5903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1901connecticut Avenue South, Sartell, MN 56377 — (320) 259-4141

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 103609 (MN)

Record details

NPI number1801041447
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedNovember 24, 2008
Last updated in NPPESDecember 11, 2023
Certification dateDecember 11, 2023

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Summit Orthopedics, Ltd — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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