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

Rachel Boulos

Individual provider Occupational Therapist · NPI 1356964894

Rachel Boulos is an Occupational Therapist in Private Practice in Hazlet, New Jersey. Qualified in 2019, 7 years ago. Practices with Jersey Shore Pelvic Health, a 2-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
7
Licensed in
NJ, NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

12 Independence Way
Hazlet, NJ 07730-2433
Phone: (732) 888-1321
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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 024685-01 (NY)
Occupational Therapist Taxonomy 225X00000X · Licence 46TR00911800 (NJ)

Record details

NPI number1356964894
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 19, 2020
Last updated in NPPESMay 19, 2020
Certification dateMay 19, 2020
Mailing address12 Independence Way, Hazlet, NJ 07730-2433

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 Jersey Shore Pelvic Health — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hazlet