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

Individual provider Occupational Therapist · NPI 1285972133

Jacqueline A Boddy, MS, OT is an Occupational Therapist in Private Practice in Portage, Michigan. Qualified in 2011, 15 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2013
What do these letters mean?
MS — Master of Science
A graduate science degree.
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

6404 Sussex St
Portage, MI 49024-2653
Phone: (269) 271-3585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201008144 (MI)

Record details

NPI number1285972133
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OT
Sole proprietorYes
NPI enumeratedJanuary 28, 2013
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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